| NPI | 1710702253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CHENG President 626-701-6676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-12-31 |