NPI | 1104367572 |
---|---|
Doing Business As | PRIORITY CARE MEDICAL GROUP EL MONTE |
Entity Type | Organization |
Authorized Contact | DARYOUSH KASHANI CEO 818-899-5555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550002136) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2017-03-17 |
Last Update Date | 2024-06-13 |