| NPI | 1477248839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA NSHANYAN CEO 818-503-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-10 |