| NPI | 1689316986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBUR N. MONTANA Medical Director 661-301-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |