| NPI | 1912033572 |
|---|---|
| Doing Business As | MID CITY COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERTA LEE FEINBERG Chief Executive Officer 858-279-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 090000124) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |