| NPI | 1285056994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON M POWELL Owner 661-242-2592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: CA C3624118) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2019-12-03 |