| Tccfhc In Central Long Beach | |
|
2360 Pacific Ave Long Beach CA 90806-3051 | |
| (562) 264-4658 | |
| (562) 997-2903 |
| Full Name | Tccfhc In Central Long Beach |
|---|---|
| Speciality | Clinic/Center |
| Location | 2360 Pacific Ave, Long Beach, California |
| Authorized Official Name and Position | Jina 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 |
|---|---|
| Tccfhc In Central Long Beach 701 E 28th St Suite 200 Long Beach CA 90806-2759 Ph: (562) 264-3985 | Tccfhc In Central Long Beach 2360 Pacific Ave Long Beach CA 90806-3051 Ph: (562) 264-4658 |
| NPI Number | 1134425804 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 04/28/2023 |
| Medicare PECOS PAC ID | 3870544919 |
|---|---|
| Medicare Enrollment ID | O20120327000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134425804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
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