| NPI | 1013108117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMARASAMY SIVAKUMAR President 661-949-5908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A054211) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |