| Apla Health & Wellness - David Geffen Center | |
|
611 S Kingsley Dr Los Angeles CA 90005-2319 | |
| (213) 201-1623 | |
| (213) 201-1595 |
| Full Name | Apla Health & Wellness - David Geffen Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 611 S Kingsley Dr, Los Angeles, California |
| Authorized Official Name and Position | Craig E. Thompson (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2132011456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apla Health & Wellness - David Geffen Center 611 S Kingsley Dr Los Angeles CA 90005-2319 Ph: (213) 201-1623 | Apla Health & Wellness - David Geffen Center 611 S Kingsley Dr Los Angeles CA 90005-2319 Ph: (213) 201-1623 |
| NPI Number | 1003230038 |
|---|---|
| Provider Enumeration Date | 02/11/2014 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 4385875236 |
|---|---|
| Medicare Enrollment ID | O20140318002099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003230038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550002233 (California) | Primary |
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