| NPI | 1225357114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIE ZARE Sr. Program Manager 818-650-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| 261QD0000X Clinic/Center, Dental | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2023-06-13 |