| NPI | 1720447568 |
|---|---|
| Doing Business As | LAS ISLAS FAMILY MEDICAL GROUP FQHC |
| Entity Type | Organization |
| Authorized Contact | NARCISA B EGAN CFO 805-677-5140 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA H80CS00247-06-03) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |