| 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 | 261QC1500X Clinic/Center, Community Health (Licence: CA CMM71157F) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-10-11 |