| NPI | 1467873265 |
|---|---|
| Doing Business As | LIFELINE COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DONWILLIAM YEBOAH Owner/Operator 323-476-1316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A82463) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |