| NPI | 1669738159 |
|---|---|
| Doing Business As | MAGNOLIA WEST |
| Entity Type | Organization |
| Authorized Contact | BARRY ZIMMERMAN Director 805-677-5272 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA H80CS00247-06-03) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2024-06-13 |