NPI | 1356540587 |
---|---|
Doing Business As | BEACH FLATS HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DORI ROSE INDA Chief Executive Officer 831-728-8250 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000001) |
Enumeration Date | 2007-07-17 |
Last Update Date | 2013-09-05 |