NPI | 1619154606 |
---|---|
Entity Type | Organization |
Authorized Contact | JINA LAWLER Chief Operations Officer 562-264-3985 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2008-01-22 |
Last Update Date | 2023-05-02 |