| NPI | 1639398704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P DENQ CEO/Cmo 626-866-9858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2025-07-18 |