| NPI | 1639334303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA NICHOLAS Chief Executive Officer 562-933-0432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 960000104) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |