| NPI | 1699426692 |
|---|---|
| Former Legal Business Name | FREDERICK EKO, MD., INC. |
| Entity Type | Organization |
| Authorized Contact | FREDERICK EKO Medical Director/Owner 760-249-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2024-11-30 |