| NPI | 1295895522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJITPAL S. TIWANA President 661-325-5513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A42864) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |