| El Proyecto Del Barrio,inc./esperanza Clinic | |
|
9140 Van Nuys Blvd Suite 207 Panorama City CA 91402-6727 | |
| (818) 830-7181 | |
| Not Available |
| Full Name | El Proyecto Del Barrio,inc./esperanza Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 9140 Van Nuys Blvd, Panorama City, California |
| Authorized Official Name and Position | Corinne J Sanchez (PRESIDENT/CEO) |
| Authorized Official Contact | 8188307133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Proyecto Del Barrio,inc./esperanza Clinic 8902 Woodman Ave Arleta CA 91331-6401 Ph: (818) 830-7133 | El Proyecto Del Barrio,inc./esperanza Clinic 9140 Van Nuys Blvd Suite 207 Panorama City CA 91402-6727 Ph: (818) 830-7181 |
| NPI Number | 1568871143 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 03/24/2021 |
| Medicare PECOS PAC ID | 3476546227 |
|---|---|
| Medicare Enrollment ID | O20160502002069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568871143 | NPI | - | NPPES |
| 1568871143 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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