| NPI | 1679034904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRINEH EBRAHIMIAN CEO 818-409-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2021-01-25 |