| NPI | 1306133657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSETT BROWN CEO 323-234-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA C53061) |
| Additional Taxonomies | 251B00000X Case Management |
| 251X00000X | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2022-02-02 |