| Angeles Community Health Center | |
|
6208 Seville Ave Huntington Park CA 90255-2913 | |
| (323) 588-8855 | |
| (323) 587-5474 |
| Full Name | Angeles Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 6208 Seville Ave, Huntington Park, California |
| Authorized Official Name and Position | Peyman Banooni (CEO) |
| Authorized Official Contact | 3106254649 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angeles Community Health Center 269 S Beverly Dr Suite 468 Beverly Hills CA 90212-3851 Ph: (323) 588-8855 | Angeles Community Health Center 6208 Seville Ave Huntington Park CA 90255-2913 Ph: (323) 588-8855 |
| NPI Number | 1295288348 |
|---|---|
| Provider Enumeration Date | 07/25/2016 |
| Last Update Date | 04/19/2017 |
| Medicare PECOS PAC ID | 5294005534 |
|---|---|
| Medicare Enrollment ID | O20180625003530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295288348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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