NPI | 1104969179 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHALL LEWIS Director 661-822-2890 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 120000546) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2007-11-09 |