| NPI | 1033470224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY A CAREY Owner 661-765-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A6032) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-20 |