| NPI | 1659405041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY STEVEN BIANCHI Owner Physician 760-723-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA a63365) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2013-03-20 |