| NPI | 1447865415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIE ZARE Sr. Program Manger 818-650-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| 261QR1300X Clinic/Center, Rural Health | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2023-06-13 |