NPI | 1104256601 |
---|---|
Doing Business As | EL DORADO -PALMDALE |
Entity Type | Organization |
Authorized Contact | SEANJAY SHARMA President / CEO 661-254-6630 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: CA 960001031) |
Enumeration Date | 2013-11-19 |
Last Update Date | 2019-05-17 |