| NPI | 1215757505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CHING Clinic Operations Manager 213-808-1792 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-10-12 |
| Last Update Date | 2024-10-18 |