| NPI | 1790437267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA FUENTES Director Of Revenue Cycle Managemen 323-268-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |