| NPI | 1205754355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ANDERS Secretary 661-587-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2026-07-07 |
| Last Update Date | 2026-07-07 |