| NPI | 1043381213 |
|---|---|
| Former Legal Business Name | QUEENSCARE FAMILY CLINICS - WILSHIRE |
| Entity Type | Organization |
| Authorized Contact | TERRY BONECUTTER President & CEO 323-669-4303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960001012) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2009-05-08 |