| NPI | 1487379327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES BONILLA Chief Executive Officer 310-549-5760 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |