| NPI | 1639581713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANA KHAN Medical Director 760-641-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: CA 20a12642) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2022-08-22 |