| Chapcare-lincoln | |
|
2055 Lincoln Ave Pasadena CA 91103-1324 | |
| (626) 486-9701 | |
| (626) 993-1288 |
| Full Name | Chapcare-lincoln |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2055 Lincoln Ave, Pasadena, California |
| Authorized Official Name and Position | Margaret Banda Martinez (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6269931227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chapcare-lincoln 455 W Montana St Pasadena CA 91103-1327 Ph: (626) 993-1212 | Chapcare-lincoln 2055 Lincoln Ave Pasadena CA 91103-1324 Ph: (626) 486-9701 |
| NPI Number | 1366856098 |
|---|---|
| Provider Enumeration Date | 06/20/2014 |
| Last Update Date | 11/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366856098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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