| NPI | 1376761940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWABENA OBENG Chief Executive Officer 310-800-7963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261Q00000X Clinic/Center (Licence: CA 550001067) | |
| Enumeration Date | 2007-04-21 |
| Last Update Date | 2019-11-19 |