| NPI | 1679946552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA KEIDERLING Director Of Qa And Hr 714-527-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2020-03-10 |