NPI | 1093265696 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH T MALLAS President 661-678-2600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
Additional Taxonomies | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine |
Enumeration Date | 2016-10-06 |
Last Update Date | 2016-10-06 |