| NPI | 1255429700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY HENRY D'AMOURS Medical Director 661-206-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-04-10 |