| NPI | 1972844272 |
|---|---|
| Other Name | EVCHC - PROTOTYPES |
| Entity Type | Organization |
| Authorized Contact | ALICIA MARDINI Chief Executive Officer 626-919-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960000210) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |