| NPI | 1245366715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMAR MASRI Hr/Financial Coordinator 909-278-8910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA HAP70911G) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2022-04-08 |