| Queenscare Health Alliance | |
|
680 Little St Los Angeles CA 90017-1644 | |
| (323) 715-1527 | |
| Not Available |
| Full Name | Queenscare Health Alliance |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 680 Little St, Los Angeles, California |
| Authorized Official Name and Position | Barbara B. Hines (CEO) |
| Authorized Official Contact | 3236694302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queenscare Health Alliance 950 South Grand Ave., 2nd Floor South Los Angeles CA 90015 Ph: (213) 705-3906 | Queenscare Health Alliance 680 Little St Los Angeles CA 90017-1644 Ph: (323) 715-1527 |
| NPI Number | 1053677401 |
|---|---|
| Provider Enumeration Date | 04/10/2012 |
| Last Update Date | 02/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053677401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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