| NPI | 1841437241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR PEREZ COO 909-381-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 550000837) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2020-12-15 |