| NPI | 1861958829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA NICHOLAS Chief Executive Officer 562-264-3551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2024-04-16 |