| NPI | 1033998646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDEEP K BASRA CEO 661-903-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |