| NPI | 1922515154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE R. MOHAMMED Executive Director/Owner 760-508-3629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2023-01-11 |