| NPI | 1609932920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA BRUCE GAMBLE Deputy Director 805-681-5171 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR0200X Clinic/Center Radiology | |
| 261QU0200X Clinic/Center Urgent Care | |
| 261Q00000X Clinic/Center | |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2022-11-09 |