| NPI | 1174225429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SOCORRO GENIE Executive Project Director 323-541-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171W00000X Contractor | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2024-02-13 |