NPI | 1497768782 |
---|---|
Doing Business As | 335B EAST AVENUE K-6 |
Entity Type | Organization |
Authorized Contact | BERYL BROOKS Clinic Administrator 661-471-4200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2006-08-15 |
Last Update Date | 2014-10-01 |