| NPI | 1710719281 |
|---|---|
| Former Legal Business Name | EMPOWER HEALTH ANTELOPE VALLEY, INC |
| Entity Type | Organization |
| Authorized Contact | GABRIELA GOROSTIETA Nurse Practitioner 818-239-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health |
| 172V00000X Community Health Worker | |
| 251S00000X | |
| 261QC1500X Clinic/Center, Community Health | |
| 363LC1500X Nurse Practitioner, Community Health | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |