| NPI | 1578740007 |
|---|---|
| Doing Business As | EASTSIDE NEIGHBORHOOD CLINIC |
| Entity Type | Organization |
| Authorized Contact | LESLIE ANN KEARNEY Qi & Compliance Manager 805-617-7858 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 050000113) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2013-10-16 |