| NPI | 1013063015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA FUENTES Business Office Manager 661-836-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A429860) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-06-19 |