| NPI | 1871853481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYOUSH KASHANI CEO 818-899-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA 550002136) |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2025-02-14 |