| NPI | 1649293572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABU TALIB TAHER President 661-326-5052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |