| NPI | 1053187781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA DEAN LAUGHLIN Administrator 661-377-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |