| South Central Family Health Center | |
|
4425 S Central Ave Los Angeles CA 90011-3629 | |
| (323) 908-4239 | |
| (323) 908-4256 |
| Full Name | South Central Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 4425 S Central Ave, Los Angeles, California |
| Authorized Official Name and Position | Paul Ramos (C.F.O.) |
| Authorized Official Contact | 3239084239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Family Health Center 4425 S Central Ave Los Angeles CA 90011-3629 Ph: (323) 908-4239 | South Central Family Health Center 4425 S Central Ave Los Angeles CA 90011-3629 Ph: (323) 908-4239 |
| NPI Number | 1396891909 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 03/30/2016 |
| Medicare PECOS PAC ID | 5597675041 |
|---|---|
| Medicare Enrollment ID | O20100826000757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396891909 | NPI | - | NPPES |
| BCP70315F | Other | CA | CANCER DETECTION PROGRAM |
| EAP70315F | Other | CA | EAPC |
| HAP70315F | Other | CA | FAMILY PLANNING |
| FHC70315F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 960000260 (California) | Primary |
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