NPI | 1114700119 |
---|---|
Doing Business As | IBARRA FAMILY HEALTH CENTER II |
Entity Type | Organization |
Authorized Contact | RICARDO ROMAN Chief Financial Officer 619-906-4603 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-08-15 |
Last Update Date | 2023-08-15 |