South Central Family Health Center in Los Angeles - Federally Qualified Health Center (fqhc)

South Central Family Health Center - NPI 1396891909

South Central Family Health Center is a Federally Qualified Health Center (fqhc) in Los Angeles, California. South Central Family Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for South Central Family Health Center is 1396891909. The last update date is 2016-03-30.

South Central Family Health Center's current location address is 4425 S Central Ave, Los Angeles, California. You can contact this provider via phone number 3239084239 and fax number 3239084256. The mailing address for South Central Family Health Center is 4425 S Central Ave, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Central Family Health Center
Address 4425 S Central Ave, Los Angeles, California
Phone Number 3239084239
Fax Number 3239084256
Sole Proprietor --
Credentials --

Authorized Official

Title or Position C.F.O.
Authorized Official Name Ramos Paul
Telephone Number 3239084239

NPI Number Detail

NPI Number 1396891909
Provider Enumeration Date 2007-01-26
Last Updated Date 2016-03-30

Provider Mailing Address Detail

Address 4425 S Central Ave
City Los Angeles
State California (CA)
Post Code 900113629
Phone Number 3239084239
Fax Number 3239084256

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Licence No 960000260
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
BCP70315F CA CANCER DETECTION PROGRAM
EAP70315F CA EAPC
HAP70315F CA FAMILY PLANNING
FHC70315F CA --

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FAQs about South Central Family Health Center

What is the South Central Family Health Center's unique identification number?

The South Central Family Health Center has been assigned the NPI (National Provider Identifier) Number 1396891909 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of South Central Family Health Center?

The South Central Family Health Center is situated at 4425 S Central Ave, in the city of Los Angeles, state of CA, with the zip code 900113629.

What is South Central Family Health Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for South Central Family Health Center is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1396891909 to South Central Family Health Center?

The Centers for Medicare & Medicaid Services originally issued the 1396891909 to South Central Family Health Center on 2007-01-26.

As of what date was the information regarding South Central Family Health Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to South Central Family Health Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-03-30.

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