| NPI | 1760740138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELINA JOHNSON CEO 818-833-3306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |