| NPI | 1245690387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ROA Finance Specialist 661-942-2391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA 550001452) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |