| NPI | 1386912202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA MARDINI Chief Executive Officer 626-919-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550002062) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2022-02-11 |