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 |