| NPI | 1033146998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRA BENAVIDES Administrative Manager 661-632-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA A31892) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-08-22 |