| NPI | 1841200748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH GRIMM President 760-322-5156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A6067) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2023-06-05 |