| NPI | 1609251735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD D SHIEPE Interim Chief Executive Officer 323-730-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960001020) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2015-07-30 |