Organization
VISTA COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LAMBERT (CFO)
(760) 216-5803
Entity
Organization
Contact information
Practice address
311 HILLCREST ST, LA HABRA, CA 90631-5340
(562) 691-3263
Mailing address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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