NPI | 1235627563 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY JASON BROWN Chief Executive Officer 714-446-5230 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-04-23 |
Last Update Date | 2020-06-17 |