| NPI | 1619678307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA NSHANYAN CEO 818-503-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-12-20 |