| South Bay Family Healthcare Center | |
|
1091 S La Brea Ave Inglewood CA 90301-3817 | |
| (310) 802-6177 | |
| (310) 802-6178 |
| Full Name | South Bay Family Healthcare Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1091 S La Brea Ave, Inglewood, California |
| Authorized Official Name and Position | Jann Hamilton-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 1091 S La Brea Ave Inglewood CA 90301-3817 Ph: (310) 802-6177 |
| NPI Number | 1255472924 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 01/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255472924 | NPI | - | NPPES |
| FHC71046F | Medicaid | CA | |
| HAP71046F | Other | CA | FAMPACT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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