| NPI | 1659373017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA MEAVE Chief Executive Officer 661-635-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA 120000198) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2025-04-17 |