| NPI | 1194461129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN MARSHAK CEO 818-830-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2025-01-16 |