| NPI | 1952358988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DAVIS Business Office Supervisor 760-346-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-05-12 |