| NPI | 1639222144 |
|---|---|
| Doing Business As | SOBOBA INDIAN HEALTH |
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMSEN CEO 909-864-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 250000055) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2023-04-17 |