| NPI | 1679020788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAS ENTABI Owner/Provider 661-274-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A89044) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A94489) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |