| NPI | 1730958471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL RAMIREZ CAO 818-899-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2024-06-13 |