| NPI | 1770845455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN HAROLD HANSON President / CEO 661-742-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA011069) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |