| 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 |