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 |