| NPI | 1104688795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MOLDOVAN Chief Financial Officer 213-201-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-10-31 |