| NPI | 1386794709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE FINLAY BERGERON Facility Administrator 661-324-6720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 0000711970) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |