| NPI | 1699418616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTINA LEWIS Deputy Director & COO 213-893-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-18 |