| NPI | 1275786402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIK GUPTA Cheif Executive Officer 818-895-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000351) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2019-06-06 |