| NPI | 1750328332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN F. MARTIN Director/Physician 661-326-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A81341) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |