| NPI | 1578763207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWABENA OBENG Chief Executive Officer 310-800-7963 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550001971) |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2021-01-21 |