NPI | 1528416104 |
---|---|
Entity Type | Organization |
Authorized Contact | NIK GUPTA CEO 818-895-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2018-01-05 |