| NPI | 1891669982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUREZA HANSON CEO 760-687-6968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |