| NPI | 1164593331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA B HINES President & CEO 323-669-4305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960001177) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2015-05-08 |