| NPI | 1982026886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSUKH GHADIYA President/CEO 661-215-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A71759) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2023-11-02 |