| NPI | 1134302300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVARO P. BALLESTEROS Chief Executive Officer 213-484-1186 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA 960000919) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2022-07-25 |