NPI | 1558514158 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT GARY OWENS Medical Director 661-638-0620 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2008-10-28 |
Last Update Date | 2008-12-11 |