| NPI | 1942749767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIUS DZAMESI Administrator/ Secretary 661-717-1729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2023-04-03 |