| NPI | 1427046754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK CHENG Chief Operating Officer 213-818-1709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960000220) |
| 261QP2300X Clinic/Center, Primary Care (Licence: CA 960000220) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2022-02-09 |