| NPI | 1639343122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RIVERA Md 661-327-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA A53681) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2012-02-07 |