NPI | 1700058781 |
---|---|
Entity Type | Organization |
Authorized Contact | CLIFTON COLE President/CEO 760-320-6677 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G48556) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: CA G48556) |
Enumeration Date | 2008-03-30 |
Last Update Date | 2012-08-29 |