NPI | 1184234726 |
---|---|
Entity Type | Organization |
Authorized Contact | ALVIN CHANG Cmo 714-501-3553 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2020-08-07 |
Last Update Date | 2023-10-16 |