| NPI | 1417378597 |
|---|---|
| Doing Business As | KEDREN COMMUNITY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | EARLE CHARLES Chief Information Officer 323-432-5093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550002516) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2018-10-02 |