| NPI | 1003250093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY CARTER Executive Director 714-247-8044 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2019-11-26 |