| 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 |