| NPI | 1770984254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS S MARTINEZ Chief Executive Officer 661-266-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA15859) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2015-05-14 |