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NPI Code Detail

MEDICARE: APLA HEALTH & WELLNESS

MEDICARE: APLA HEALTH & WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)550002233CA

General Provider Information

NPI Number : 1003230038
Entity Type Code : Organization
Provider Name (Legal Business Name) : APLA HEALTH & WELLNESS
Provider Business Mailing Address
First Line : 611 S KINGSLEY DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90005-2319
Country : US
Telephone Number : 213-201-1623
Fax Number : 213-201-1595
Provider Business Practice Location Address
First Line : 611 S KINGSLEY DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90005-2319
Country : US
Telephone Number : 213-201-1623
Fax Number : 213-201-1595
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. CRAIG E. THOMPSON
Credential :
Telephone Number : 213-201-1456
Provider Enumeration Date : 02/11/2014
Last Update Date : 01/29/2024

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Directions to “APLA HEALTH & WELLNESS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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