| NPI | 1972845113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J MANGIA President And CEO 323-541-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171W00000X Contractor |
| 251B00000X Case Management | |
| 251X00000X Supports Brokerage | |
| 261QC1500X Clinic/Center Community Health | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2024-02-13 |