NPI | 1407033301 |
---|---|
Doing Business As | WESTSIDE NEIGHBORHOOD CLINIC |
Entity Type | Organization |
Authorized Contact | LESLIE ANN KEARNEY Qi & Compliance Manager 805-617-7858 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 050000091) |
Enumeration Date | 2008-01-23 |
Last Update Date | 2013-10-16 |