| NPI | 1578089447 |
|---|---|
| Doing Business As | SOUTH CENTRAL FAMILY DENTAL & MEDICAL |
| Entity Type | Organization |
| Authorized Contact | RICHARD VELOZ Chief Executive Officer 323-908-4247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2022-07-21 |