NPI | 1912189424 |
---|---|
Entity Type | Organization |
Authorized Contact | ALVARO P. BALLESTEROS Chief Executive Officer 213-484-1186 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 960000791) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA 960001445) |
261QC1500X Clinic/Center, Community Health (Licence: CA 550000250) | |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 950001280) | |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000019) | |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960000919) | |
Enumeration Date | 2007-11-27 |
Last Update Date | 2007-11-27 |