| NPI | 1083406896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY AHN Chief Operations Officer And CIO 714-527-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-19 |