| NPI | 1225599178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN GOLDMAN Chief Financial Officer 323-993-8948 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-10-23 |