| NPI | 1487662524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIETMAR HABECK President 661-949-5542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA G33334) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |