| NPI | 1326590423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH VILLAR CEO 323-268-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2024-05-31 |