| NPI | 1609634211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANA CANELA COO 213-413-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2026-04-30 |