| NPI | 1255495552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINA L. LAWLER Chief Operations Officer 562-264-3985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: CA 960001379) |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2023-06-12 |