| NPI | 1710786827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY UNG CEO 213-687-9999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |