| NPI | 1184337602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIDIAN LOPEZ Practice Manager 661-341-3800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2024-09-26 |