| NPI | 1235577529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH VILLAR Chief Executive Officer 323-268-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2024-05-31 |