| NPI | 1831817402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM S Manager 661-471-9424 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2024-08-24 |