| NPI | 1023887593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURY AKOPYAN CEO 310-730-6362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2023-12-26 |