| NPI | 1851775795 |
|---|---|
| Doing Business As | THE CHILDREN'S CLINIC FAMILY HEALTH CENTER ROOSEVELT |
| Entity Type | Organization |
| Authorized Contact | JINA L. LAWLER Chief Operations Officer 562-264-3985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2023-05-02 |