| NPI | 1891449989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT SENELLA President/ Chief Executive Officer 818-654-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |