| NPI | 1720537863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES COOK Chief Executive Officer 661-942-2391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2017-06-01 |