| NPI | 1740335678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA CRUZ Biller/Coder 213-202-3970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 261QC1500X Clinic/Center, Community Health (Licence: CA CMM71157F) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2024-10-29 |