| NPI | 1174971741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIK GUPTA CEO 818-895-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-06-06 |