NPI | 1639216914 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES W SANDERS Chief Financial Officer 661-872-3408 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
261QM2500X Clinic/Center, Medical Specialty | |
Enumeration Date | 2007-01-30 |
Last Update Date | 2013-08-02 |