NPI | 1295257913 |
---|---|
Other Name | KEDREN COMMUNITY CARE CLINIC-B |
Entity Type | Organization |
Authorized Contact | EARLE CHARLES Chief Information Officer 323-432-5093 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-07-14 |
Last Update Date | 2022-07-21 |