| 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 | 261QC1500X Clinic/Center, Community Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2024-06-13 |