| NPI | 1194543124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA M GEORGE COO 661-388-1543 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |