| NPI | 1760518609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL S. LEWIS Medical Director 661-747-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-02-16 |