| NPI | 1073363768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SOCORRO GENIE Chief Administrative Officer 323-944-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251X00000X | |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-05-22 |