| NPI | 1417490236 |
|---|---|
| Other Name | SANDY SEGAL YOUTH HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MITESH G POPAT Chief Executive Officer 310-664-7901 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2023-09-11 |