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Organization
BIENVENIDOS CHILDREN'S CENTER, INC
Active
Organization
BIENVENIDOS CHILDREN'S CENTER, INC
Active
Other names
Bienvenidos Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACOBUS VAN DER COLFF (CHIEF FINANCIAL OFFICER)
(213) 785-5923
Entity
Organization
Contact information
Practice address
316 W 2ND ST, SUITE 800, LOS ANGELES, CA 90012-3504
(213) 785-5906
(213) 785-5914
Mailing address
316 W. 2ND STREET, SUITE 800, LOS ANGELES, CA 90012
(213) 785-5922
(213) 785-5914
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A63662
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70881F
—
CA
05
—
EAP70881F
—
CA
Enumeration date
02/22/2007
Last updated
08/07/2013
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