Healthcare Provider Details

I. General information

NPI: 1760080881
Provider Name (Legal Business Name): FAMILY HEALTH CARE RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2020
Last Update Date: 06/21/2023
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3444 WHITTIER BLVD STE A
LOS ANGELES CA
90023-1708
US

IV. Provider business mailing address

18375 VENTURA BLVD STE 539
TARZANA CA
91356-4218
US

V. Phone/Fax

Practice location:
  • Phone: 213-413-3040
  • Fax: 323-347-5680
Mailing address:
  • Phone: 213-413-3040
  • Fax: 323-347-5680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MR. HANY MALEK
Title or Position: CEO
Credential:
Phone: 213-413-3040