NPI | 1497009245 |
---|---|
Entity Type | Organization |
Authorized Contact | BETTINA LEWIS COO 213-893-1960 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960000972) |
Enumeration Date | 2012-11-01 |
Last Update Date | 2021-05-07 |