| Benevolence Health Centers | |
|
611 E Imperial Hwy Suite 107 Los Angeles CA 90059-2358 | |
| (323) 732-0100 | |
| Not Available |
| Full Name | Benevolence Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 611 E Imperial Hwy, Los Angeles, California |
| Authorized Official Name and Position | Kwabena Obeng (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 Centers 1010 Crenshaw Blvd Ste 100 Torrance CA 90501-2055 Ph: (310) 617-5651 | Benevolence Health Centers 611 E Imperial Hwy Suite 107 Los Angeles CA 90059-2358 Ph: (323) 732-0100 |
| NPI Number | 1457781676 |
|---|---|
| Provider Enumeration Date | 11/25/2013 |
| Last Update Date | 01/21/2021 |
| Medicare PECOS PAC ID | 3870686611 |
|---|---|
| Medicare Enrollment ID | O20210506002716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457781676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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