| NPI | 1720090616 |
|---|---|
| Doing Business As | LAKE LOS ANGELES COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BERYL BROOKS Clinic Administrator 323-890-7775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2018-12-26 |