Fhl Health Llc | |
10329 Democracy Ln Ste B Fairfax VA 22030-2559 | |
(203) 823-8136 | |
Not Available |
Full Name | Fhl Health Llc |
---|---|
Speciality | Clinic/Center |
Location | 10329 Democracy Ln Ste B, Fairfax, Virginia |
Authorized Official Name and Position | Leiling Chen (OWNER) |
Authorized Official Contact | 2038238136 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Fhl Health Llc 25284 Planting Field Dr Chantilly VA 20152-4459 Ph: (203) 823-8136 | Fhl Health Llc 10329 Democracy Ln Ste B Fairfax VA 22030-2559 Ph: (203) 823-8136 |
NPI Number | 1265179931 |
---|---|
Provider Enumeration Date | 05/16/2022 |
Last Update Date | 05/16/2022 |
Medicare PECOS PAC ID | 7214305226 |
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Medicare Enrollment ID | O20221123000898 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265179931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Leiling Chen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174298400 PECOS PAC ID: 1951709674 Enrollment ID: I20220111002285 |
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