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General NPI Number Information
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NPI Number | 1639073141
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Entity Type | Organization
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Legal Business Name | PEDIATRIC AND FAMILY MEDICAL CENTER
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 3680 E IMPERIAL HWY STE 250
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City | LYNWOOD
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State | CA
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Zip | 90262-5758
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Country | US
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Telephone | 310-608-4898
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Fax |
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Provider Business Mailing Address
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Address Line | 3680 E IMPERIAL HWY STE 250
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City | LYNWOOD
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State | CA
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Zip | 90262-5758
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Country | US
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Telephone | 310-608-4898
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Fax |
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Authorized Official
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Title or Position | SR FINANCIAL ANALYST
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Name | PIERRE CHAVEZ
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Credential |
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Telephone | 213-746-1037
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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 | NULL
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