NPI | 1538300488 |
---|---|
Doing Business As | MANDALAY BAY WOMEN & CHILDRENS FQHC |
Entity Type | Organization |
Authorized Contact | THERESA CHO Director 805-677-5290 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA H80CS00247-06-03) |
Enumeration Date | 2009-03-23 |
Last Update Date | 2024-07-19 |