| NPI | 1295318319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR ALEXANDER CHAVEZ CEO 323-233-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |