| NPI | 1215493259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINA LAWLER Chief Operations Officer 562-264-3985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2023-04-28 |