| NPI | 1699580068 |
|---|---|
| Other Name | KEDREN COMMUNITY CARE CLINIC - MOBILE UNIT |
| Entity Type | Organization |
| Authorized Contact | JASON ALEXANDER WARNER Chief Information Officer 323-515-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-02-11 |