NPI | 1154600336 |
---|---|
Doing Business As | LAS ISLAS MOBILE |
Entity Type | Organization |
Authorized Contact | THERESA CHO Director 805-677-5290 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA H80CS00247) |
Enumeration Date | 2011-08-05 |
Last Update Date | 2024-07-19 |