| NPI | 1053576876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T MALLAS Assistant Secretary 661-678-2626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2015-02-09 |