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 |