| NPI | 1194265637 |
|---|---|
| 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 | 2017-03-02 |
| Last Update Date | 2022-12-21 |