| NPI | 1639448400 |
|---|---|
| Doing Business As | CHINA LAKE COMMUNITY HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES A SUVER CEO 760-499-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207X00000X Orthopaedic Surgery | |
| 208600000X Surgery | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2023-07-13 |