NPI | 1396480356 |
---|---|
Entity Type | Organization |
Authorized Contact | SOMPIA PAIGNE CEO 562-270-0324 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-05-03 |
Last Update Date | 2025-09-23 |