Family Health Clinic Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A42598 Issued in CA

Legal business name

FAMILY HEALTH CLINIC INC.

Practice address

133 S Vermont Ave
Los Angeles, CA 90004-5904

Phone

(213) 480-0748

Fax

(213) 480-1661

NPI assigned

Apr 25, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Renato V Mungcal, M.D.

Title

President

Phone

(213) 480-0748

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1639604895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045904",
            "telephone_number": "213-480-0748",
            "fax_number": "213-480-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045904",
            "telephone_number": "213-480-0748",
            "fax_number": "213-480-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "MUNGCAL",
        "authorized_official_first_name": "RENATO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-480-0748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A42598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A425980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Care Specialists Medical Corporation
• Family Crisis Center
• Family Dental Care 4 You
• Family Hands Adult Residential Care, LLC (Family Hands Adult Care Facility)
• Family Health Care Resources
• Family Home Health Care Inc
• Family Planning Associates Medical Group Inc (FPA Women's Health)
• Family Planning Associates Medical Group Inc (FPA Women's Health)
• Family Planning Associates Medical Group Inc (FPA Women's Health)
• Family Planning Associates Medical Group Inc (FPA Women's Health)

• Primary Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.