| NPI | 1396891909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL RAMOS C.F.O. 323-908-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960000260) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2016-03-30 |