NPI | 1215327804 |
---|---|
Doing Business As | TRIBAL HEALTH PEDIATRICS |
Entity Type | Organization |
Authorized Contact | ERNESTO PADILLA Executive Director 707-263-0329 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2015-02-03 |
Last Update Date | 2022-04-27 |