NPI | 1952067738 |
---|---|
Other Name | DR. TERRI BREHOVE MOBILE CLINIC UNIT |
Entity Type | Organization |
Authorized Contact | MITESH G POPAT Chief Executive Officer 310-664-7901 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-11-16 |
Last Update Date | 2023-09-11 |