| NPI | 1659110203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAVA MARSH CEO/Owner 760-905-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |