| NPI | 1295483204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ROSSATO Authorized Official 213-201-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-03-17 |