| NPI | 1144760943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY CARTER Executive Director 714-247-8044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2019-11-26 |