NPI | 1437440864 |
---|---|
Entity Type | Organization |
Authorized Contact | SEEMA DAYALJI Manager 661-864-7575 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A42864) |
Additional Taxonomies | 174400000X Specialist (Licence: CA a428640) |
Enumeration Date | 2011-04-19 |
Last Update Date | 2011-11-17 |