| NPI | 1902936644 |
|---|---|
| Doing Business As | LA PUENTE SUB CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK CORBET Interim Chief Financial Officer 323-226-2400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-03-28 |