| NPI | 1912292285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JURY CANDELARIO President/CEO 213-553-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA Community Clinic) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA Primary Care Clinic) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |