| NPI | 1790961639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZARA MARSELIAN CEO 619-584-1612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA 090000679) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2010-09-16 |