NPI | 1124460274 |
---|---|
Doing Business As | NECC - GAGE HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER LAU Executive Director 626-457-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
207QG0300X Family Medicine, Geriatric Medicine | |
208000000X Pediatrics | |
2080A0000X Pediatrics, Adolescent Medicine | |
Enumeration Date | 2013-07-17 |
Last Update Date | 2023-06-12 |