| NPI | 1790202968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN GOLDMAN Chief Financial Officer 213-201-1546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2024-01-29 |