| NPI | 1992425482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO L. CASTILLON Chief Executive Officer 661-630-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-11-18 |