| NPI | 1518631142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANSISCO L. CASTILLON Chief Executive Officer 661-630-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2025-07-08 |