Fremont Wellness Center | |
7821 S Avalon Blvd Los Angeles CA 90003 | |
(323) 406-5784 | |
(323) 233-2685 |
Full Name | Fremont Wellness Center |
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Speciality | Clinic/Center |
Location | 7821 S Avalon Blvd, Los Angeles, California |
Authorized Official Name and Position | Alfredo Reynoso (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 3233135588 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fremont Wellness Center 711 W Florence Ave Los Angeles CA 90044-6105 Ph: (323) 789-5610 | Fremont Wellness Center 7821 S Avalon Blvd Los Angeles CA 90003 Ph: (323) 406-5784 |
NPI Number | 1730421330 |
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Provider Enumeration Date | 03/21/2013 |
Last Update Date | 05/23/2024 |
Medicare PECOS PAC ID | 8628173564 |
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Medicare Enrollment ID | O20141231001214 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730421330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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