NPI | 1386000248 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY SZETO Chief Administration Officer 626-286-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000475) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2016-01-07 |
Last Update Date | 2021-10-11 |