| NPI | 1174224240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIE ZARE Sr. Program Manger 818-650-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2023-06-13 |