| NPI | 1740827898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINA LAWLER Chief Operations Officer 562-264-3985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2023-05-02 |