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General NPI Number Information
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NPI Number | 1194528919
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Entity Type | Organization
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Legal Business Name | CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 12474 WASHINGTON BLVD
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City | WHITTIER
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State | CA
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Zip | 90602-1005
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Country | US
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Telephone | 213-536-5815
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 S GRAND AVE
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City | LOS ANGELES
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State | CA
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Zip | 90007-3301
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Country | US
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Telephone | 213-910-8845
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Fax |
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Authorized Official
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Title or Position | CAO
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Name | ELEANOR PEREZ
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Credential |
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Telephone | 626-488-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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