NPI | 1255495552 |
---|---|
Doing Business As | THE VASEK POLAK CHILDREN'S CLINIC FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | JINA L. LAWLER Chief Operations Officer 562-264-3985 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 960001379) |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2023-06-12 |