Healthcare Provider Details

I. General information

NPI: 1851484182
Provider Name (Legal Business Name): FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 GARFIELD AVE
BELL GARDENS CA
90201-1805
US

IV. Provider business mailing address

6501 GARFIELD AVE
BELL GARDENS CA
90201-1805
US

V. Phone/Fax

Practice location:
  • Phone: 562-928-9600
  • Fax: 562-927-8603
Mailing address:
  • Phone: 562-928-9600
  • Fax: 562-927-8603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: CORAZON R ALCANTARA
Title or Position: CFO
Credential:
Phone: 562-776-5000