| NPI | 1285482034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR AVILEZ LARA CFO 310-869-9821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171WH0202X Contractor, Home Modifications | |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2025-01-16 |