| NPI | 1306827332 |
|---|---|
| Doing Business As | MID-CITY COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERTA LEE FEINBERG Chief Executive Officer 619-563-0507 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 090000124) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2007-07-23 |