| NPI | 1972669372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN SNYDER Assistant Deputy Director 805-681-5252 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR0200X Clinic/Center Radiology | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-04-20 |