NPI | 1952451031 |
---|---|
Entity Type | Organization |
Authorized Contact | AWAD ANTHONY CEO 323-469-5555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-01-11 |
Last Update Date | 2019-05-08 |