| NPI | 1972547644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHYAR AJIR President 760-729-4952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A6701) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A6683) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-06-19 |