| NPI | 1578110979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JEFFREY LOEWEN Chief Executive Officer 661-556-4777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2021-07-07 |