| NPI | 1588970313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO RATNIEWSKI Chairman Of The Board 760-871-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A34382) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 58252) |
| 207R00000X Internal Medicine (Licence: CA C42220) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA 20A8287) | |
| 208000000X Pediatrics (Licence: CA A77736) | |
| 213E00000X Podiatrist (Licence: CA E1514) | |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |