| NPI | 1861255143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA BUSHERI CEO 818-582-3189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |