| NPI | 1982615274 |
|---|---|
| Doing Business As | LA PUENTE SUB CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK CORBET Interim Chief Financial Officer 323-226-2400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2018-12-26 |