NPI | 1831783620 |
---|---|
Doing Business As | DAP HEALTH-VISTA VILLAGE PEDIATRICS |
Entity Type | Organization |
Authorized Contact | JUDY STITH Chief Administrative Officer 760-323-2118 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2021-02-23 |
Last Update Date | 2023-10-30 |