| NPI | 1356771265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIL R DATE President 661-272-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |