| Westside Family Health Center | |
|
3861 Sepulveda Blvd Culver City CA 90230-4605 | |
| (309) 450-4773 | |
| (310) 450-0873 |
| Full Name | Westside Family Health Center |
|---|---|
| Speciality | Clinic/center |
| Location | 3861 Sepulveda Blvd, Culver City, California |
| Authorized Official Name and Position | Debra Ann Farmer (PRESIDENT/CEO) |
| Authorized Official Contact | 3094504773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Family Health Center 3861 Sepulveda Blvd Culver City CA 90230-4605 Ph: (309) 450-4773 | Westside Family Health Center 3861 Sepulveda Blvd Culver City CA 90230-4605 Ph: (309) 450-4773 |
| NPI Number | 1407033616 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 08/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407033616 | NPI | - | NPPES |
| EAP11798F | Other | CA | EAPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | EAP11798F (California) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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