| NPI | 1083962005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANN HAMILTON-LEE President/CEO 310-802-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |