NPI | 1881585610 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY HONG VO Executive Vice President 909-988-2555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2025-07-10 |
Last Update Date | 2025-07-10 |