| NPI | 1053861690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T MALLAS Secretary 661-678-2600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |