| NPI | 1689495673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS TWEH CEO 323-776-1500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |