| NPI | 1164934725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO L CASTILLON Chief Executive Officer 661-630-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2024-09-24 |