| NPI | 1326883505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JOSE ORDENANA Vice President 661-934-0875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2025-09-03 |