NPI | 1083864656 |
---|---|
Doing Business As | DIVISADERO COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | OLGA MEAVE Chief Executive Officer 661-635-3050 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 040000309) |
Enumeration Date | 2008-09-19 |
Last Update Date | 2024-02-09 |