| NPI | 1043257314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO B. BRAVO President/Physician 661-327-4712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A72360) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2013-08-28 |