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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 Physician
2261QF0400XFederally Qualified Health Center (FQHC)

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 : 1154901726
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 : 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
Authorized Official
Title or Position : CHIEF ADMINISTRATION OFFICER
Name : MS. EMILY SZETO
Credential :
Telephone Number : 626-286-8700
Provider Enumeration Date : 04/08/2021
Last Update Date : 10/11/2021

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Directions to “HERALD CHRISTIAN HEALTH CENTER ” Practice Location

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