| NPI | 1275629495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ROSSATO Executive Director 213-201-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960000308) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2016-08-29 |