| S. Mark Taper Foundation Children's Clinic Family Health Ctr | |
|
455 E Columbia St Suite 201 Long Beach CA 90806-1620 | |
| (562) 933-0412 | |
| (562) 933-0487 |
| Full Name | S. Mark Taper Foundation Children's Clinic Family Health Ctr |
|---|---|
| Speciality | Clinic/Center |
| Location | 455 E Columbia St, Long Beach, California |
| Authorized Official Name and Position | Jina L. Lawler (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5622643985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S. Mark Taper Foundation Children's Clinic Family Health Ctr 701 E 28th St Suite 200 Long Beach CA 90806-2759 Ph: (562) 264-3985 | S. Mark Taper Foundation Children's Clinic Family Health Ctr 455 E Columbia St Suite 201 Long Beach CA 90806-1620 Ph: (562) 933-0412 |
| NPI Number | 1639233935 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 05/02/2023 |
| Medicare PECOS PAC ID | 3870544919 |
|---|---|
| Medicare Enrollment ID | O20070914000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639233935 | NPI | - | NPPES |
| FHC11466F | Medicaid | CA |
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