| NPI | 1376988618 |
|---|---|
| Doing Business As | THE PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JAN R MENSINK President 661-871-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G58097) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |