NPI | 1104859354 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI HERNANDEZ Billing Manager 530-226-1740 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 20A7013) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2021-09-21 |