| Benevolence Health Center | |
|
805 W La Veta Ave 110 Orange CA 92868-3901 | |
| (714) 289-8800 | |
| (714) 633-9928 |
| Full Name | Benevolence Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 805 W La Veta Ave, Orange, California |
| Authorized Official Name and Position | Kwabena Obeng (CEO/ PRESIDENT) |
| Authorized Official Contact | 3108007963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benevolence Health Center 805 W La Veta Ave 110 Orange CA 92868-3901 Ph: (714) 289-8800 | Benevolence Health Center 805 W La Veta Ave 110 Orange CA 92868-3901 Ph: (714) 289-8800 |
| NPI Number | 1497166672 |
|---|---|
| Provider Enumeration Date | 05/09/2014 |
| Last Update Date | 10/22/2019 |
| Medicare PECOS PAC ID | 3870686611 |
|---|---|
| Medicare Enrollment ID | O20191104001476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497166672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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