# FAMILY HEALTH ALLIANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619190881
- **Authorized official:** DR. JORGE LOPEZ M.D. (GROUP PRESIDENT)
- **Authorized official phone:** (818) 461-5030

## Contact information

- **Practice address:** 16030 VENTURA BLVD STE 200, ENCINO, CA 91436-2754
- **Practice address phone:** (818) 461-5030
- **Practice address fax:** (818) 461-5095
- **Mailing address:** 16030 VENTURA BLVD STE 200, ENCINO, CA 91436-2754
- **Mailing address phone:** (818) 461-5030
- **Mailing address fax:** (818) 461-5095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | G61816 | CA | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 08/22/2020