| NPI | 1932650538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T MALLAS Emrollment Specialist 661-678-2600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2017-05-04 |