| NPI | 1174996318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY D REYES CEO 323-724-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2025-07-24 |