| NPI | 1639610462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYLI EUNICE TORRES Assistant Counsler 818-561-9415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: CA 172V00000X) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |