| NPI | 1497639231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURIEL NOUWEZEM CEO 323-337-1707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-09-04 |