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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