| Multiservice Family Center, Inc. | |
|
101 N La Brea Ave Suite 301 Inglewood CA 90301-1769 | |
| (310) 412-0202 | |
| Not Available |
| Full Name | Multiservice Family Center, Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 101 N La Brea Ave, Inglewood, California |
| Authorized Official Name and Position | Evelyn S Clark (PRESIDENT CEO) |
| Authorized Official Contact | 3104120202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Multiservice Family Center, Inc. 101 N La Brea Ave Suite 301 Inglewood CA 90301-1769 Ph: (310) 412-0202 | Multiservice Family Center, Inc. 101 N La Brea Ave Suite 301 Inglewood CA 90301-1769 Ph: (310) 412-0202 |
| NPI Number | 1891811170 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 07/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891811170 | NPI | - | NPPES |
| CMM70110F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 960000228 (California) | Primary |
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