| NPI | 1962050120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER TAK LAU Executive Director 626-457-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2021-10-15 |