| NPI | 1689564072 |
|---|---|
| Doing Business As | RAVINDRA GAUTAM MD |
| Entity Type | Organization |
| Authorized Contact | RAVINDRA MOHARPAL GAUTAM CEO 760-256-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |