NPI | 1417378597 |
---|---|
Doing Business As | KEDREN COMMUNITY CARE CLINIC |
Entity Type | Organization |
Authorized Contact | JASON ALEXANDER WARNER Chief Information Officer 323-515-7010 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550002516) |
Enumeration Date | 2013-12-17 |
Last Update Date | 2025-02-11 |