| NPI | 1619330438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUSRATH FATIMA JAHANGIR COO 310-962-8970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |