| NPI | 1003244377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LYNN ORTIZ Clinical Applications Coordinator 661-327-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2024-03-25 |