NPI | 1275187460 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANCIS YU CEO 626-307-7397 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2019-07-26 |
Last Update Date | 2019-08-13 |