| NPI | 1356520779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BURTON Director, Community Care 818-895-9596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2865X1600X Military Hospital, Military General Acute Care Hospital. Operational (Transportable) (Licence: CA 2865X1600X-Military) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA 261Q00000X-Clinic/Ce) |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 261QF0400X-Clinic/Ce) | |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |