Healthcare Provider Details

I. General information

NPI: 1548199292
Provider Name (Legal Business Name): SOUTH CENTRAL FAMILY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 E FLORENCE BLVD.
HUNTINGTON PARK CA
90255-5848
US

IV. Provider business mailing address

1111 E VERNON AVE
LOS ANGELES CA
90011-3718
US

V. Phone/Fax

Practice location:
  • Phone: 323-908-4200
  • Fax:
Mailing address:
  • Phone: 323-908-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateNULL

VIII. Authorized Official

Name: GENEVIEVE FILMARDIROSSIAN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 323-908-4200