| NPI | 1760550701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER T. SPELSBERG Officer 760-922-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C22232) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA C22232) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2025-09-11 |