| NPI | 1801395751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGINE NANOS President 760-701-5463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2024-08-23 |