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20800 Sherman Way Winnetka CA 91306-2707 | |
| (818) 883-2273 | |
| (818) 347-4257 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 20800 Sherman Way, Winnetka, California |
| Authorized Official Name and Position | Corinne Sanchez (PRESIDENT CEO) |
| Authorized Official Contact | 8188307133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
20800 Sherman Way Winnetka CA 91306-2707 Ph: (818) 883-2273 | 20800 Sherman Way Winnetka CA 91306-2707 Ph: (818) 883-2273 |
| NPI Number | 1538130893 |
|---|---|
| Provider Enumeration Date | 01/26/2006 |
| Last Update Date | 07/01/2008 |
| Medicare PECOS PAC ID | 3476546227 |
|---|---|
| Medicare Enrollment ID | O20070817000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538130893 | NPI | - | NPPES |
| HAP70769F | Other | CA | FAM PLANNING |
| FHC70769F | Medicaid | CA | |
| BCP70769F | Other | CA | BREAST/CERVICAL CANCER PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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