| NPI | 1285930396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT SENELLA President/Chief Operating Officer 818-654-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2020-12-22 |