NPI | 1578205019 |
---|---|
Entity Type | Organization |
Authorized Contact | YURY AKOPYAN CEO 310-730-6362 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-04-13 |
Last Update Date | 2022-04-13 |