| NPI | 1770210684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FELLER President 760-275-7919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208800000X Urology | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2024-05-16 |