| NPI | 1679814818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCELIA MONTES Manager 323-277-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA OT 8306) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |