NPI | 1649942814 |
---|---|
Entity Type | Organization |
Authorized Contact | BETTINA LEWIS Chief Operations Officer 213-893-1960 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-10-05 |
Last Update Date | 2021-10-05 |