| NPI | 1255015905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA NSHANYAN CEO 818-503-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2023-06-13 |