NPI | 1265708994 |
---|---|
Entity Type | Organization |
Authorized Contact | NIK GUPTA CEO 818-895-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2012-03-27 |
Last Update Date | 2012-03-27 |