| NPI | 1124159835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHEREH PIRHEKAYATY Executive Director 213-381-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 960000918) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA 960000918) |
| 261QP2300X Clinic/Center, Primary Care (Licence: CA 960000918) | |
| 261QH0100X Clinic/Center, Health Services (Licence: CA 960000918) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 960000918) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2015-05-15 |