| NPI | 1467572115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD I RASKIN Medical Director 661-254-3686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2015-07-16 |