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NPI Code Detail

MEDICARE: CITY HELP, INC

MEDICARE: CITY HELP, INC
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
1261QP2300XPrimary Care Clinic/CenterCA

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 : 1053538637
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY HELP, INC
Provider Business Mailing Address
First Line : 2301 BELLEVUE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4017
Country : US
Telephone Number : 213-273-7060
Fax Number : 213-273-7277
Provider Business Practice Location Address
First Line : 2301 BELLEVUE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-4017
Country : US
Telephone Number : 213-273-7060
Fax Number : 213-273-7277
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. ELISEO DANIEL OVANDO JR.
Credential :
Telephone Number : 213-273-7277
Provider Enumeration Date : 04/18/2007
Last Update Date : 08/22/2020

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Directions to “CITY HELP, INC ” Practice Location

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