| NPI | 1619106838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB ADAMIK Chief Human Resouce Officer 323-541-1604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA NP18546) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2010-09-02 |