| NPI | 1679562201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK O'BRIEN President 760-439-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2015-04-20 |