NPI | 1932757820 |
---|---|
Entity Type | Organization |
Authorized Contact | ALFREDO REYNOSO Director Of Operations 323-233-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-09-03 |
Last Update Date | 2019-09-03 |