| 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 |