NPI | 1740174960 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERTO SANTANA Vice President 661-425-0295 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-06-03 |
Last Update Date | 2025-06-03 |