| NPI | 1801037577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ E TRISTAN Pediatrician 760-768-5246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A064252) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |