| NPI | 1366750465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISA PICCININNO Business Administrator 661-288-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA C51512) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2012-10-05 |