| NPI | 1861258964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL RAMIREZ CAO 818-899-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-08-09 |