| NPI | 1093716474 |
|---|---|
| Doing Business As | PEDIATRIC HEALTH AND WIC CENTER |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WYARD Chief Executive Officer 818-898-1388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2022-02-22 |