NPI | 1144791500 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN BURNS Chief Medical Officer 213-674-7424 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2018-12-11 |
Last Update Date | 2024-03-19 |