| The Children's Clinic Family Health Center Westside | |
|
2125 Santa Fe Ave Long Beach CA 90810-3547 | |
| (562) 264-4859 | |
| (562) 432-9590 |
| Full Name | The Children's Clinic Family Health Center Westside |
|---|---|
| Speciality | Clinic/Center |
| Location | 2125 Santa Fe 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 |
|---|---|
| The Children's Clinic Family Health Center Westside 701 E 28th St Suite 200 Long Beach CA 90806-2759 Ph: (562) 264-3985 | The Children's Clinic Family Health Center Westside 2125 Santa Fe Ave Long Beach CA 90810-3547 Ph: (562) 264-4859 |
| NPI Number | 1205250263 |
|---|---|
| Provider Enumeration Date | 02/12/2014 |
| Last Update Date | 04/28/2023 |
| Medicare PECOS PAC ID | 3870544919 |
|---|---|
| Medicare Enrollment ID | O20140416000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205250263 | 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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