| NPI | 1861867590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO L CASTILLON Chief Executive Officer 661-630-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2020-03-18 |