| NPI | 1710020201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS MICHELLE STARKEL Administrator 760-630-0529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2021-02-25 |