| NPI | 1578505079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RABI BHOGAL Doctor 661-327-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 120000475) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2013-04-24 |