| NPI | 1275151334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI KISHIYAMA Administrator 818-307-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC0050X Clinic/Center, Critical Access Hospital |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |