| NPI | 1225747611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT YOUNG Vice President, PFS 323-622-2429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2022-11-15 |