Livingstone Community Development Corporation | |
111 W Bastanchury Rd Unit 1a Fullerton CA 92835-2527 | |
(714) 248-9500 | |
(714) 622-4943 |
Full Name | Livingstone Community Development Corporation |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 111 W Bastanchury Rd, Fullerton, California |
Authorized Official Name and Position | Kyung I. Park (CEO) |
Authorized Official Contact | 7142489500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Livingstone Community Development Corporation 111 W Bastanchury Rd Unit 1a Fullerton CA 92835-2527 Ph: (714) 248-9500 | Livingstone Community Development Corporation 111 W Bastanchury Rd Unit 1a Fullerton CA 92835-2527 Ph: (714) 248-9500 |
NPI Number | 1881210318 |
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Provider Enumeration Date | 06/20/2020 |
Last Update Date | 06/20/2020 |
Identifier | Type | State | Issuer |
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1881210318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Uma P Rao, Md., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 N Harbor Blvd, Suite 120, Fullerton, CA 92835 Phone: 714-992-2765 Fax: 714-681-9015 | |