| NPI | 1962483040 |
|---|---|
| Doing Business As | MID-CITY COMMUNITY CLINIC-PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | ROBERTA LEE FEINBERG Chief Executive Officer 619-563-0507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2020-08-22 |