| NPI | 1619118569 |
|---|---|
| Doing Business As | PEDIATRIC DIAGNOSTIC CENTER FQHC |
| Entity Type | Organization |
| Authorized Contact | THERESA CHO Director 805-677-5290 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA H80CS00247-06-03) |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2024-07-19 |