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