| NPI | 1437153848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMAR MASRI Hr/Financial Coordinator 951-278-8910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA 612590) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2022-03-09 |