| NPI | 1699034884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA BRUCE GAMBLE Deputy Director 805-681-5171 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2021-06-30 |