| NPI | 1639375108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJITPAL S TIWANA Director 661-322-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 550000439) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |