Friends Of Family Health Center | |
565 S Azusa Way La Puente CA 91744-5113 | |
(626) 913-4795 | |
(562) 690-3182 |
Full Name | Friends Of Family Health Center |
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Speciality | Clinic/Center |
Location | 565 S Azusa Way, La Puente, California |
Authorized Official Name and Position | Nicolis Arias (CREDENTIALING) |
Authorized Official Contact | 5626900400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Friends Of Family Health Center 501 S Idaho St Ste 100 La Habra CA 90631-6047 Ph: (562) 690-0400 | Friends Of Family Health Center 565 S Azusa Way La Puente CA 91744-5113 Ph: (626) 913-4795 |
NPI Number | 1124758883 |
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Provider Enumeration Date | 06/15/2022 |
Last Update Date | 09/30/2022 |
Medicare PECOS PAC ID | 7315120730 |
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Medicare Enrollment ID | O20221117001688 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124758883 | NPI | - | NPPES |
FHCX10068 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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