| NPI | 1013912641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JU HWAN LEE Medical Director 661-327-4411 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 208000000X Pediatrics | |
| 208M00000X Hospitalist | |
| 213E00000X Podiatrist | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2025-07-14 |