| NPI | 1740356005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN WILLIAMSON Owner 760-436-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A83666) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA G70448) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2015-06-08 |