| Queens Care Family Clinic | |
|
150 N Reno St Los Angeles CA 90026-4656 | |
| (213) 380-7298 | |
| (213) 384-0951 |
| Full Name | Queens Care Family Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 150 N Reno St, Los Angeles, California |
| Authorized Official Name and Position | Paula L Situ (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 2133807298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Care Family Clinic 150 N Reno St Los Angeles CA 90026-4656 Ph: (213) 380-7298 | Queens Care Family Clinic 150 N Reno St Los Angeles CA 90026-4656 Ph: (213) 380-7298 |
| NPI Number | 1104813146 |
|---|---|
| Provider Enumeration Date | 10/04/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104813146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 510678 (California) | Primary |
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