| NPI | 1679709679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY M JACKSON President 760-416-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0203X Clinic/Center, Oncology, Radiation |
| Additional Taxonomies | 261QX0203X Clinic/Center, Oncology, Radiation (Licence: NV 8953) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2010-10-04 |