| NPI | 1174251516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA MARDINI Chief Executive Officer 626-919-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |