| NPI | 1821101643 |
|---|---|
| Doing Business As | LAKE LOS ANGELES COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BERYL BROOKS Clinic Administrator 661-471-4200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2014-10-01 |