| NPI | 1225975790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVARO PROSPERO BALLESTEROS Chief Executive Officer 323-201-4516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2026-05-01 |
| Last Update Date | 2026-05-01 |