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
1	261QF0400X	Federally Qualified Health Center (FQHC)	550000217	CA

General Provider Information

NPI Number	:	1740490937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APLA HEALTH & WELLNESS

Provider Business Mailing Address
First Line	:	611 S. KINGSLEY DRIVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005
Country	:	US
Telephone Number	:	213-201-1600
Fax Number	:	213-201-1595

Provider Business Practice Location Address
First Line	:	1127 WILSHIRE BLVD
Second Line	:	SUITE 1504
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-3901
Country	:	US
Telephone Number	:	213-201-1389
Fax Number	:	213-201-1398

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. CRAIG E THOMPSON
Credential	:
Telephone Number	:	213-201-1456

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	01/29/2024

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Directions to “APLA HEALTH & WELLNESS ” Practice Location

Language	Start Address	Practice Location

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