NPI | 1861677650 |
---|---|
Entity Type | Organization |
Authorized Contact | OMAR J KENYATTA Billing Manager 323-357-6684 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960000216) |
Enumeration Date | 2007-12-31 |
Last Update Date | 2007-12-31 |