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General NPI Number Information
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NPI Number | 1922416411
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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 | 07/28/2014
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 6001 E WASHINGTON BLVD # 100
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City | COMMERCE
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State | CA
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Zip | 90040-2451
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Country | US
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Telephone | 562-928-9600
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Fax | 323-447-1738
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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 | 562-927-8603
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. 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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | CA
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #7
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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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