Healthcare Provider Details

I. General information

NPI: 1437703329
Provider Name (Legal Business Name): GARFIELD HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2019
Last Update Date: 08/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S ATLANTIC BLVD STE 202
MONTEREY PARK CA
91754-3866
US

IV. Provider business mailing address

PO BOX 807
MONTEREY PARK CA
91754-0807
US

V. Phone/Fax

Practice location:
  • Phone: 626-300-9079
  • Fax: 626-307-1807
Mailing address:
  • Phone: 626-307-7397
  • Fax: 626-307-1807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental 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: FRANCIS YU
Title or Position: CEO
Credential: MD
Phone: 626-307-7397