NPI | 1346480837 |
---|---|
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 550000877) |
Enumeration Date | 2009-02-24 |
Last Update Date | 2024-02-20 |