| NPI | 1699480038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PARK Owner/President 661-855-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |