| NPI | 1801252762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA M LAGUNDA Provider/President 661-847-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA C51016) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |