| NPI | 1316629686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE GLORIA SALGADO Managed Care COO Rdinator 562-708-5136 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-11-20 |