NPI | 1619361961 |
---|---|
Entity Type | Organization |
Authorized Contact | JOESPH T MALLAS President & COO 661-678-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
Enumeration Date | 2015-03-25 |
Last Update Date | 2015-03-25 |