| NPI | 1740222934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEONNA ELIZABETH PEREZ COO 805-603-4059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 50000515) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2022-09-06 |