is a Federally Qualified Health Center (fqhc) in Los Angeles, California. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for is 1225188204. The last update date is .
's current location address is 837 W Imperial Hwy, Los Angeles, California. You can contact this provider via phone number 3237559555. The mailing address for is 837 W Imperial Hwy, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 837 W Imperial Hwy, Los Angeles, California |
| Phone Number | 3237559555 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1225188204 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 837 W Imperial Hwy |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900444110 |
| Phone Number | 3237559555 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC70866F | CA | -- | |
| HAP70866F | CA | FAMILY PACT |
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