| NPI | 1003164724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT YOUNG A VP Patient Financial Services 323-622-2429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA PT 19057) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |