| NPI | 1598096315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ADEDAPO ADESIDA Physician Assistant 760-951-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: CA PA15768) |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2023-07-26 |