| NPI | 1689024887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA TOKUHARA Administrator 760-340-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A97863) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2020-12-09 |