| NPI | 1770034530 |
|---|---|
| Doing Business As | VIA CARE 607 |
| Entity Type | Organization |
| Authorized Contact | DEBORAH VILLAR Chief Executive Officer 323-268-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2022-03-02 |