| NPI | 1932083102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY FREDERICKS Owner 760-707-8504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |