| Baart Community Healthcare | |
|
4920 Avalon Blvd Los Angeles CA 90011-4004 | |
| (323) 235-5035 | |
| (323) 235-2023 |
| Full Name | Baart Community Healthcare |
|---|---|
| Speciality | Clinic/center |
| Location | 4920 Avalon Blvd, Los Angeles, California |
| Authorized Official Name and Position | Bruce Jarvie (VP, TREASURER) |
| Authorized Official Contact | 2143793300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baart Community Healthcare 1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 Ph: (214) 379-3300 | Baart Community Healthcare 4920 Avalon Blvd Los Angeles CA 90011-4004 Ph: (323) 235-5035 |
| NPI Number | 1306276407 |
|---|---|
| Provider Enumeration Date | 11/26/2013 |
| Last Update Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306276407 | NPI | - | NPPES |
| CMM70932F | Other | CA | CLINIC MEDI-CAL |
| 00G496230 | Other | CA | MEDI-CAL LEGACY NUMBER |
| FU754Z | Other | CA | PTAN |
| GB595Z | Other | CA | MEDICARE PTAN |
| HL290Z | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 960001332 (California) | Primary |
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