Healthcare Provider Details

I. General information

NPI: 1760480610
Provider Name (Legal Business Name): GARFIELD HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 01/29/2022
Certification Date: 01/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 N GARFIELD AVE SUITE 203
MONTEREY PARK CA
91754-1746
US

IV. Provider business mailing address

210 N GARFIELD AVE SUITE 203
MONTEREY PARK CA
91754-1746
US

V. Phone/Fax

Practice location:
  • Phone: 626-307-7397
  • Fax: 626-307-1807
Mailing address:
  • Phone: 626-307-7397
  • Fax: 626-307-1807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number960001453
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: FRANCIS W YU
Title or Position: PRESIDENT/MEDICAL DIRECTOR
Credential: M.D.
Phone: 626-307-7397