NPI | 1740611219 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT YOUNG VP, Patient Financial Services 323-622-2429 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA PT 19057) |
Enumeration Date | 2013-12-09 |
Last Update Date | 2019-08-07 |