NPI | 1457079543 |
---|---|
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) |
Enumeration Date | 2022-08-16 |
Last Update Date | 2022-08-16 |