| NPI | 1790044196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN SHARMA Executive Director 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 960001048) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |