| NPI | 1215206503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL BALLESTEROS CEO 213-484-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2022-03-11 |