| NPI | 1225188204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AWAD ANTHONY CEO 323-469-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2019-05-07 |