| NPI | 1912051996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH BEATTY Owner 661-395-0315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G593850) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G59385) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G59385) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2012-06-13 |