NPI | 1588441588 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT UY YOUNG Vice President, PFS 323-622-2429 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2023-09-12 |
Last Update Date | 2023-09-12 |