| NPI | 1265853295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE ANN ROSE Practice Manager 661-201-5409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A5828) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |