| NPI | 1871524363 |
|---|---|
| Doing Business As | KIDCARE EXPRESS II |
| Entity Type | Organization |
| Authorized Contact | RICARDO ROMAN CFO 619-906-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 090000668) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-02-19 |