Healthcare Provider Details

I. General information

NPI: 1750173431
Provider Name (Legal Business Name): FUTURE HOPE OUTREACH FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2025
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2628 E CESAR E CHAVEZ AVE
LOS ANGELES CA
90033-3006
US

IV. Provider business mailing address

2628 E CESAR E CHAVEZ AVE
LOS ANGELES CA
90033-3006
US

V. Phone/Fax

Practice location:
  • Phone: 323-354-4565
  • Fax: 323-354-4461
Mailing address:
  • Phone: 323-354-4565
  • Fax: 323-354-4461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LILIA XU
Title or Position: DIRECTOR
Credential:
Phone: 323-354-4565