| 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 |