| NPI | 1568756872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T. MALLAS Secretary 661-678-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2022-07-21 |