| NPI | 1295756310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN J. KUBO Owner 661-664-0252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2015-08-17 |