NPI | 1013083666 |
---|---|
Former Legal Business Name | QUEENSCARE HEALTH CENTERS |
Entity Type | Organization |
Authorized Contact | ELOISA PERARD President & CEO 323-669-4321 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960000219) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2024-06-27 |