Family Health Care Centers of Greater Los Angeles, Inc.
Organization Active NPI Community Health Clinic/Center · Hawaiian Gardens, CA
NPI 1811032436 · NPPES record last updated May 8, 2015
Key facts
- NPI
- 1811032436
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Health Clinic/Center 261QC1500X
- License
- 960001120 (CA)
- Legal business name
- FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC.
- Practice address
- 22310 Wardham Ave
Hawaiian Gardens, CA 90716-1740 - Phone
- (562) 420-2433
- Fax
- (562) 429-2053
- NPI assigned
- Feb 21, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC.
Authorized official
- Name
- Mrs. Raquel R. Villa
- Title
- Ceo / Coo
- Phone
- (562) 928-9600
National Provider Directory
- Part of
- Family Health Care Centers of Greater Los Angeles
Locations
22310 Wardham Ave
Hawaiian Gardens, CA 90716
Phone (562) 420-2433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 960001120 | CA | Yes |
Addresses
Primary practice location
22310 Wardham Ave
Hawaiian Gardens, CA 90716-1740
Mailing address
22310 Wardham Ave
Hawaiian Gardens, CA 90716-1740
Phone (562) 420-2433
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CMM70824F | Medicaid | CA |
Other names
- Hawaiian Gardens Health Center
Other providers in Hawaiian Gardens, CA
- Joseph S Englanoff
- Euclid Foot Clinic Podiatry Group, Inc.
- Samantha Ann Evans
- Elena G Ezpeleta
- Ruben A Ezquerro
- Weiqin Fang
- Melissa Felix
- Mathias A.L. Fobi
- Jessica Foster
- Samantha Foster
All providers in Hawaiian Gardens, CA · Community Health Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.