| NPI | 1215009626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OMIDI Owner 661-267-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |