NPI | 1407378458 |
---|---|
Other Name | KEDREN COMMUNITY CARE CLINIC - AMITY |
Entity Type | Organization |
Authorized Contact | JASON ALEXANDER WARNER Chief Information Officer 323-515-7010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2025-02-11 |