MEDICARE: HAND-IN-HAND COMMUNITY 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
1	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1740755149
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND-IN-HAND COMMUNITY HEALTH CENTER

Provider Business Mailing Address
First Line	:	3831 HUGHES AVE STE 602
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90232-6845
Country	:	US
Telephone Number	:	310-204-6897
Fax Number	:	310-204-4690

Provider Business Practice Location Address
First Line	:	2929 E FLORENCE AVE
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5825
Country	:	US
Telephone Number	:	310-204-6897
Fax Number	:	310-204-4690

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	DENYS SLESARENKO
Credential	:
Telephone Number	:	310-204-6897

Provider Enumeration Date	:	10/11/2018
Last Update Date	:	08/11/2020

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