Central Neighborhood Health Foundation - Fontana | |
714 W. Olympic Blvd Suite # 801 Los Angeles CA 90015 | |
(626) 488-3111 | |
(323) 206-5402 |
Full Name | Central Neighborhood Health Foundation - Fontana |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 714 W. Olympic Blvd Suite # 801, Los Angeles, California |
Authorized Official Name and Position | Nusrath Fatima Jahangir (VP) |
Authorized Official Contact | 3232345000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Central Neighborhood Health Foundation - Fontana 7965 Sierra Ave Suite # E Fontana CA 92336 Ph: (909) 356-4459 | Central Neighborhood Health Foundation - Fontana 714 W. Olympic Blvd Suite # 801 Los Angeles CA 90015 Ph: (626) 488-3111 |
NPI Number | 1083148753 |
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Provider Enumeration Date | 04/19/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083148753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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