| NPI | 1639212749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GLYWN WALTERS Physician 760-327-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |