| NPI | 1093985418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL CERVANTES Assistant Administrator 213-380-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 960000265) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |