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 |