| NPI | 1659526168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY L FABIAN Office Manager 760-436-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A32917) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |