| NPI | 1598386559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY REYES CEO 714-490-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2024-12-13 |