| NPI | 1801261011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVARO BALLESTEROS Chief Executive Officer 323-201-4516 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2021-09-03 |