| NPI | 1104246362 |
|---|---|
| Doing Business As | LOCKE WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID BRUMLAGE Assistant Controller 323-564-4331 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550002583) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2023-05-23 |