| NPI | 1750711586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO N RIVAS Np 562-587-3635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 23236) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |