| NPI | 1689181331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA THAO NGUYEN Chief Executive Officer 714-620-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-03-05 |