| NPI | 1912689563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SOCORRO GENIE Executive Project Director 323-541-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251B00000X Case Management |
| 251X00000X Supports Brokerage | |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2024-02-13 |