| NPI | 1578186144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO REYNOSO Director Of Operations 323-313-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2022-06-02 |