NPI | 1336525906 |
---|---|
Doing Business As | OAK PARK FAMILY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | RICARDO ROMAN CFO 619-515-2300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000465) |
Enumeration Date | 2015-08-06 |
Last Update Date | 2024-02-20 |