| NPI | 1871487199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO SANTANA Treasurer 661-425-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-03 |