| La Familia | |
|
27211 Tyrrell Ave Hayward CA 94544-4509 | |
| (510) 887-0303 | |
| (510) 887-5703 |
| Full Name | La Familia |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 27211 Tyrrell Ave, Hayward, California |
| Authorized Official Name and Position | Virginia Salvatier (ADMINISTRATOR AND OPERATIONS MANAGE) |
| Authorized Official Contact | 5103003516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Familia 27211 Tyrrell Avenue Hayward CA 94544 Ph: (510) 887-0303 | La Familia 27211 Tyrrell Ave Hayward CA 94544-4509 Ph: (510) 887-0303 |
| NPI Number | 1710194592 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/17/2020 |
| Certification Date | 08/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710194592 | NPI | - | NPPES |
| 8126 | Other | CA | MEDI-CAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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