NPI | 1285788059 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSEMARY D REYES CEO 323-724-0019 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2007-01-22 |
Last Update Date | 2022-12-21 |