| NPI | 1922489665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN TA Chief Financial Officer 562-690-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2016-08-19 |