NPI | 1508187329 |
---|---|
Doing Business As | LAS ISLAS FAMILY MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | THERESA CHO Director 805-677-5290 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2010-06-16 |
Last Update Date | 2024-07-19 |