| NPI | 1255472924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANN HAMILTON-LEE President CEO 310-802-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 05D1027416) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-01-09 |