NPI | 1811257363 |
---|---|
Doing Business As | FAMILY&COMMUNITY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | HAGOS HABTEZGHI Medical Director 323-835-8401 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 00C415001) |
Enumeration Date | 2012-05-17 |
Last Update Date | 2012-05-17 |