| NPI | 1972666063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI CHARISSE COBLE Owner 760-778-7147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |