| NPI | 1871818138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN TA Chief Financial Officer 562-690-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A106562) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 13382) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 50015) | |
| 207R00000X Internal Medicine (Licence: CA A80057) | |
| 208000000X Pediatrics (Licence: CA G51286) | |
| 208000000X Pediatrics (Licence: CA A81700) | |
| 208000000X Pediatrics (Licence: CA 20A9142) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 8539) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2020-04-29 |