| NPI | 1649514258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T MALLAS Secretary 661-678-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2022-07-21 |