| NPI | 1083148753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUSRATH FATIMA JAHANGIR VP 323-234-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2022-07-21 |