| NPI | 1205500808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO L CASTILLON Chief Executive Officer 661-630-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2024-09-24 |