| NPI | 1942519558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTNEY MICHELLE JACKSON Office Manager 661-321-9206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA g41041) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2011-02-24 |