| Chc Los Alamos | |
|
429 Leslie St Los Alamos CA 93440 | |
| (805) 249-8858 | |
| (805) 361-8097 |
| Full Name | Chc Los Alamos |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 429 Leslie St, Los Alamos, California |
| Authorized Official Name and Position | Ronald E Castle (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8053618014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chc Los Alamos 2050 S Blosser Rd Santa Maria CA 93458-7310 Ph: (805) 361-8014 | Chc Los Alamos 429 Leslie St Los Alamos CA 93440 Ph: (805) 249-8858 |
| NPI Number | 1770946840 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770946840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |