| South Bay Family Healthcare Center | |
|
2114 Artesia Blvd Redondo Beach CA 90278-3014 | |
| (310) 802-6177 | |
| (310) 802-6178 |
| Full Name | South Bay Family Healthcare Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2114 Artesia Blvd, Redondo Beach, 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 2114 Artesia Blvd Redondo Beach CA 90278-3014 Ph: (310) 802-6177 |
| NPI Number | 1548301229 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 10/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548301229 | NPI | - | NPPES |
| FHC70843F | Medicaid | CA | |
| HAP70843F | Other | CA | FAMPACT |
| EAP70236F | Other | CA | EAPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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