World Impact | |
2003 E Imperial Hwy Los Angeles CA 90059-2200 | |
(323) 566-6626 | |
Not Available |
Full Name | World Impact |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2003 E Imperial Hwy, Los Angeles, California |
Authorized Official Name and Position | Bettina Lewis (COO) |
Authorized Official Contact | 2138931960 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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World Impact 311 Winston St Los Angeles CA 90013-1519 Ph: (213) 893-1960 | World Impact 2003 E Imperial Hwy Los Angeles CA 90059-2200 Ph: (323) 566-6626 |
NPI Number | 1588908693 |
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Provider Enumeration Date | 11/15/2012 |
Last Update Date | 05/07/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588908693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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