NPI | 1720619828 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSALINDA ROY President 818-775-5993 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-01-28 |
Last Update Date | 2020-01-28 |