| Eisner Health Student And Family Wellness Center | |
|
1921 Maple Ave Los Angeles CA 90011-1036 | |
| (213) 747-5542 | |
| (213) 342-3408 |
| Full Name | Eisner Health Student And Family Wellness Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1921 Maple Ave, Los Angeles, California |
| Authorized Official Name and Position | Monica Mccarthy (SR VP, COO & INTERIM-CEO) |
| Authorized Official Contact | 2137461037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eisner Health Student And Family Wellness Center 1530 S Olive St Los Angeles CA 90015-3023 Ph: (213) 747-5542 | Eisner Health Student And Family Wellness Center 1921 Maple Ave Los Angeles CA 90011-1036 Ph: (213) 747-5542 |
| NPI Number | 1225687197 |
|---|---|
| Provider Enumeration Date | 09/04/2019 |
| Last Update Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225687197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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