NPI | 1740281120 |
---|---|
Doing Business As | CANOGA PARK HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | KIMBERLY WYARD Chief Executive Officer 818-898-1388 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
261QC1500X Clinic/Center, Community Health (Licence: CA 9600963) | |
Enumeration Date | 2005-08-09 |
Last Update Date | 2022-03-03 |