| NPI | 1063962769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T MALLAS President 661-678-2600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | |
| 261Q00000X | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2021-10-14 |