| NPI | 1306584396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIET NGUYEN Medical Director 213-388-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2025-05-29 |