| NPI | 1649805508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOHAR POGHOSYAN CFO 818-648-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X |
| 261QC1500X Clinic/Center, Community Health | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 207Q00000X Family Medicine | |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-11-03 |