Organization
FOUNTAIN HOPE AND HEALTH FOR YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM WALE JIMOH (EXECUTIVE DIRECTOR)
(323) 755-5632
Entity
Organization
Contact information
Practice address
2930 W IMPERIAL HWY, 510, INGLEWOOD, CA 90303-3143
(323) 755-5632
(323) 755-5630
Mailing address
2930 W IMPERIAL HWY, 510, INGLEWOOD, CA 90303-3143
(323) 755-5632
(323) 755-5630
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
MEDI-CAL
CA
Enumeration date
05/25/2012
Last updated
05/25/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us