| NPI | 1225382955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTINA LEWIS COO 213-893-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 96000972) |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2021-04-29 |