| Fhccgla School Based Health Center | |
|
6119 Agra St. Bell Gardens CA 90201 | |
| (562) 928-9600 | |
| Not Available |
| Full Name | Fhccgla School Based Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 6119 Agra St., Bell Gardens, California |
| Authorized Official Name and Position | Raquel R Villa (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5627765014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fhccgla School Based Health Center 6513 S Garfield Ave. Bell Gardens CA 90201 Ph: () - | Fhccgla School Based Health Center 6119 Agra St. Bell Gardens CA 90201 Ph: (562) 928-9600 |
| NPI Number | 1215310008 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Medicare PECOS PAC ID | 8921902057 |
|---|---|
| Medicare Enrollment ID | O20180430002813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215310008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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