NPI | 1306017603 |
---|---|
Entity Type | Organization |
Authorized Contact | NIK GUPTA Chief Executive Officer 818-895-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960001450) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA 960001450) |
Enumeration Date | 2008-03-14 |
Last Update Date | 2010-07-10 |