| NPI | 1972005528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOMPIA PAIGNE CEO 562-472-5372 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2025-09-23 |