| NPI | 1790229243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTINA LEWIS Chief Operations Officer 213-893-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000850) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2021-05-07 |