| NPI | 1306727599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT M ESTACIO Partner 661-673-3204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-09-12 |