NPI | 1609207125 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRINEH EBRAHIMIAN CEO 818-409-3020 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-12-09 |
Last Update Date | 2021-01-25 |