| NPI | 1871634568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANN HAMILITON-LEE President CEO 310-802-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 05D0952854) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-10-05 |