| NPI | 1063748242 |
|---|---|
| Doing Business As | CHAPCARE LAKE ELIZABETH |
| Doing Business As | CHAPCARE-LAKE |
| Entity Type | Organization |
| Authorized Contact | MARCELLA CHAVEZ Bom 626-993-1238 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550001311) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2019-06-19 |