NPI | 1073134490 |
---|---|
Other Name | BEVERLYCARE PICO RIVERA |
Entity Type | Organization |
Authorized Contact | CORALI NAKAMATSU Executive Director 323-725-5073 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-04-27 |
Last Update Date | 2020-07-21 |