| NPI | 1598996506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIK GUPTA Chief Executive Officer 818-895-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA 960000465) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2011-09-22 |