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NPI Code Detail

MEDICARE: HERALD CHRISTIAN HEALTH CENTER

MEDICARE: HERALD CHRISTIAN HEALTH CENTER
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
1207Q00000XFamily Medicine Physician550000475CA
2261QF0400XFederally Qualified Health Center (FQHC)550000475CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033390273
Entity Type Code : Organization
Provider Name (Legal Business Name) : HERALD CHRISTIAN HEALTH CENTER
Provider Business Mailing Address
First Line : 3401 AERO JET AVE
Second Line :
City : EL MONTE
State : CA
Zip : 91731-2801
Country : US
Telephone Number : 626-286-8700
Fax Number : 626-286-8650
Provider Business Practice Location Address
First Line : 923 S SAN GABRIEL BLVD
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91776-2743
Country : US
Telephone Number : 626-286-8700
Fax Number : 626-286-8650
Authorized Official
Title or Position : CHIEF ADMINISTRATION OFFICER
Name : MS. EMILY SZETO
Credential :
Telephone Number : 626-286-8700
Provider Enumeration Date : 11/15/2007
Last Update Date : 10/11/2021

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Directions to “HERALD CHRISTIAN HEALTH CENTER ” Practice Location

Language Start Address Practice Location
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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