NPI | 1336698505 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH T MALLAS Secretary 661-678-2600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
Enumeration Date | 2016-09-28 |
Last Update Date | 2016-09-28 |