| Family Health Care Resources | |
|
3444 Whittier Blvd Ste A Los Angeles CA 90023-1708 | |
| (213) 413-3040 | |
| (323) 347-5680 |
| Full Name | Family Health Care Resources |
|---|---|
| Speciality | Clinic/Center |
| Location | 3444 Whittier Blvd Ste A, Los Angeles, California |
| Authorized Official Name and Position | Hany Malek (CEO) |
| Authorized Official Contact | 2134133040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Care Resources 18375 Ventura Blvd Ste 539 Tarzana CA 91356-4218 Ph: (213) 413-3040 | Family Health Care Resources 3444 Whittier Blvd Ste A Los Angeles CA 90023-1708 Ph: (213) 413-3040 |
| NPI Number | 1760080881 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 06/21/2023 |
| Medicare PECOS PAC ID | 0547645756 |
|---|---|
| Medicare Enrollment ID | O20220923000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760080881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| Provider Name | Juan I Sam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033278031 PECOS PAC ID: 0345427449 Enrollment ID: I20110526000402 |
| Provider Name | Nehzat Nikakhtar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427062348 PECOS PAC ID: 1052575107 Enrollment ID: I20120621000269 |
| Provider Name | Connie Marie Lapadat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043511900 PECOS PAC ID: 4385872308 Enrollment ID: I20160829003082 |
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