Huntington Park Family Health Center | |
2680 Saturn Ave Ste 220&280 Huntington Park CA 90255-4377 | |
(323) 908-4200 | |
(323) 908-4256 |
Full Name | Huntington Park Family Health Center |
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Speciality | Clinic/Center |
Location | 2680 Saturn Ave Ste 220&280, Huntington Park, California |
Authorized Official Name and Position | Richard A Veloz (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 3239084247 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Huntington Park Family Health Center 4425 S Central Ave Los Angeles CA 90011-3629 Ph: (323) 908-4200 | Huntington Park Family Health Center 2680 Saturn Ave Ste 220&280 Huntington Park CA 90255-4377 Ph: (323) 908-4200 |
NPI Number | 1669799896 |
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Provider Enumeration Date | 04/28/2010 |
Last Update Date | 01/25/2012 |
Medicare PECOS PAC ID | 5597675041 |
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Medicare Enrollment ID | O20110211000438 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669799896 | NPI | - | NPPES |
1669799896 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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