| NPI | 1831716513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A ALEX DAVILA CEO 760-799-9681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |