Organization
SOUTH BAY FAMILY HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANN HAMILTON-LEE (PRESIDENT/CEO)
(310) 802-6177
Entity
Organization
Contact information
Practice address
2114 ARTESIA BLVD, REDONDO BEACH, CA 90278-3014
(310) 318-2521
Mailing address
2114 ARTESIA BLVD, REDONDO BEACH, CA 90278-3014
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70843F
—
CA
Enumeration date
08/23/2012
Last updated
08/23/2012
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