| NPI | 1124827407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SOCORRO GENIE Chief Administrative Officer 323-541-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |