NPI | 1114556263 |
---|---|
Entity Type | Organization |
Authorized Contact | ARMEN BUNIATYAN Chief Executive Officer 818-730-3467 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-04-01 |
Last Update Date | 2020-04-01 |