| NPI | 1669833562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL V RILEY President 760-998-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2022-07-21 |