| NPI | 1063684413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO L CASTILLON CEO 661-630-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA 120000668) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA CLF 308189) |
| 291U00000X Clinical Medical Laboratory (Licence: CA CLP320413) | |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2014-07-11 |