| NPI | 1174125892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARAM MANOUKIAN CEO 760-326-0222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |