| NPI | 1841417300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINWOOD J. KILLAM CEO 951-849-4761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |