NPI | 1437791779 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCISCO L CASTILLON Chief Executive Officer 661-630-7050 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-10-08 |
Last Update Date | 2024-09-24 |