| NPI | 1437703329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS YU CEO 626-307-7397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-08-13 |