NPI | 1730595505 |
---|---|
Entity Type | Organization |
Authorized Contact | JANN HAMILTON-LEE CEO 310-802-6177 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 0108466) |
Enumeration Date | 2014-07-01 |
Last Update Date | 2014-07-01 |