| NPI | 1023098845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T. MALLAS President 661-678-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2016-04-12 |