| NPI | 1053607739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL WILLIAM SCHULZE President 661-665-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA DC27639) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2013-05-15 |