NPI | 1861925679 |
---|---|
Entity Type | Organization |
Authorized Contact | AVETIK MACHKALYAN Chief Executive Officer 909-988-2555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2024-03-13 |