MEDICARE: ST ANTHONY MEDICAL CENTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QF0400X	Federally Qualified Health Center (FQHC)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	HAP70863F	OTHER	CA	FAMILY PACT

General Provider Information

NPI Number	:	1063562130
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST ANTHONY MEDICAL CENTERS

Provider Business Mailing Address
First Line	:	6368 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	CA
Zip	:	90028-6320
Country	:	US
Telephone Number	:	323-469-5555
Fax Number	:

Provider Business Practice Location Address
First Line	:	6368 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	CA
Zip	:	90028-6320
Country	:	US
Telephone Number	:	323-469-5555
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. AWAD ANTHONY
Credential	:	M.D
Telephone Number	:	323-469-5555

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	09/05/2025

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Directions to “ST ANTHONY MEDICAL CENTERS ” Practice Location

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