| 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 |