| NPI | 1700083771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT R ANDERSON Medical Director 760-320-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A56013) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2015-07-30 |