| NPI | 1558122028 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | RUTH A OGOT Family Nurse Practitioner 661-472-1192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-08-15 |