| NPI | 1740532282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM K WONG President 760-245-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A31644) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |