| NPI | 1164606414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LAU Executive Director 626-457-6900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA HAP11584G) |
| 207V00000X Obstetrics & Gynecology (Licence: CA HAP11584G) | |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2021-10-15 |