| NPI | 1710537303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRELLA I MCCOY Revenue Cycle Director 626-794-5737 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2025-03-20 |