NPI | 1316209935 |
---|---|
Entity Type | Organization |
Authorized Contact | SHWETA AGARWAL Owner 661-249-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A98555) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A99233) |
208D00000X General Practice (Licence: CA A98555) | |
Enumeration Date | 2012-06-11 |
Last Update Date | 2013-10-03 |