NPI | 1649845496 |
---|---|
Doing Business As | MAIN CAMPUS FIRST FLOOR COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | NANCY CHUNG Administrative Services Manager 951-617-1261 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-05-24 |
Last Update Date | 2024-03-04 |