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General NPI Number Information
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NPI Number | 1760371645
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC.
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 6001 E WASHINGTON BLVD STE 101
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City | COMMERCE
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State | CA
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Zip | 90040-2455
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Country | US
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Telephone | 562-928-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 6001 E WASHINGTON BLVD STE 101
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City | COMMERCE
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State | CA
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Zip | 90040-2455
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Country | US
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Telephone | 562-928-9600
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Fax |
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Authorized Official
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Title or Position | C.E.O
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Name | RAQUEL R VILLA
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Credential |
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Telephone | 562-776-5014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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