NPI | 1013311448 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN PAK Chief Executive Officer 213-427-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2014-10-14 |
Last Update Date | 2021-03-11 |