| NPI | 1982179008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINE DZHGALYAN CEO 818-843-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-11-15 |