| NPI | 1891416558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE PITTS Billing Administrator 661-843-7841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2026-01-31 |