NPI | 1891352944 |
---|---|
Entity Type | Organization |
Authorized Contact | GEOFFREY WON-CHEN LEUNG Medical Director 951-358-5222 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-05-23 |
Last Update Date | 2019-05-23 |