| NPI | 1578136834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HABIB J HASHMANI CEO/Authorized Official 562-602-2508 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2023-08-10 |