| NPI | 1295493310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO REYNOSO COO 323-233-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2022-01-04 |