| NPI | 1851300123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE LAMBERT CFO 760-726-0065 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 080000002) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-05-01 |