| NPI | 1417789744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE RAJARATNAM Medical Director 661-945-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |