| NPI | 1366140881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER ALAN CARSON Medical Director 661-480-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-05-23 |