| NPI | 1770596439 |
|---|---|
| Doing Business As | LA PUENTE SUB CENTER |
| Entity Type | Organization |
| Authorized Contact | VIRGINIA PEREZ Chief, Consolidated Business Office 323-914-7622 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2019-05-30 |