NPI | 1619471802 |
---|---|
Doing Business As | SABAN COMMUNITY CLINIC |
Entity Type | Organization |
Authorized Contact | MURIEL NOUWEZEM CEO 323-337-1707 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2021-06-14 |