| NPI | 1780880815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND DANN Owner 760-738-7926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C22179) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A34902) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2010-09-23 |