NPI | 1255046744 |
---|---|
Entity Type | Organization |
Authorized Contact | ARLENE GLORIA SALGADO Managed Care COO Rdinator 562-708-5136 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-01-18 |
Last Update Date | 2023-01-18 |