| NPI | 1902015498 |
|---|---|
| Doing Business As | ADVANTAGE SPORTS AND WELLNESS MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN R STEELE President 760-360-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CA 20A555) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-11-20 |