| NPI | 1851678981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL TAHERI Medical Director/ Owner 661-947-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |