| Angeles Community Health Center | |
|
5800 King Avenue Maywood CA 90270-2928 | |
| (866) 981-3002 | |
| Not Available |
| Full Name | Angeles Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5800 King Avenue, Maywood, California |
| Authorized Official Name and Position | Peyman Banooni (CEO) |
| Authorized Official Contact | 2134134888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angeles Community Health Center Po Box 57130 Los Angeles CA 90057-4103 Ph: () - | Angeles Community Health Center 5800 King Avenue Maywood CA 90270-2928 Ph: (866) 981-3002 |
| NPI Number | 1851029847 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851029847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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