| NPI | 1669418513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITESH G POPAT Chief Executive Officer 310-664-7901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA 960000169) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-09-11 |