| NPI | 1407519556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRANJAN DASS President 661-631-2229 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2023-01-25 |