| South Bay Family Healthcare Center | |
|
742 W Gardena Blvd Gardena CA 90247-5024 | |
| (310) 802-6177 | |
| (310) 802-6178 |
| Full Name | South Bay Family Healthcare Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 742 W Gardena Blvd, Gardena, California |
| Authorized Official Name and Position | Jann Hamiliton-lee (PRESIDENT-CEO) |
| Authorized Official Contact | 3108026177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Family Healthcare Center 23430 Hawthorne Blvd Bldg 3, Suite 210 Torrance CA 90505-4720 Ph: (310) 802-6177 | South Bay Family Healthcare Center 742 W Gardena Blvd Gardena CA 90247-5024 Ph: (310) 802-6177 |
| NPI Number | 1871634568 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 10/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871634568 | NPI | - | NPPES |
| HAP70093F | Other | CA | FAMPACT |
| FHC70093F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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W. Al-fadly, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16000 S Vermont Ave, Gardena, CA 90247 Phone: 310-324-1183 Fax: 310-324-4358 | |
Rjmrst Professional Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1141 W Redondo Beach Blvd Ste 306, Gardena, CA 90247 Phone: 714-865-0263 Fax: 909-563-1355 | |
The Wellness Group Of America Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 W Artesia Blvd, Suite 21-22, Gardena, CA 90248 Phone: 908-967-2540 | |
South Atlantic Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 W Gardena Blvd, Gardena, CA 90247 Phone: 310-323-9999 | |
Dan M Kahen, Do Apc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1146 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-323-9999 Fax: 310-323-0216 |