| NPI | 1194960880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER MICHAEL DE SESA Owner 661-294-0429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA DC25850) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |