| NPI | 1306399514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMOD KUMAR SRIVASTAVA President 661-496-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A51256) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |