NPI | 1548813041 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDER ROSSEL CEO 714-665-9890 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-07-23 |
Last Update Date | 2023-02-15 |