Organization
HUBERT H. HUMPHREY COMPREHENSIVE HEALTH CENTER
Active
Parent organization
LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES
Authorized official
LAKSHMI MAKAM MD (MEDICAL DIRECTOR)
(323) 846-4104
Entity
Organization
Contact information
Practice address
1000 S FREMONT AVE BLDG A-9A, ALHAMBRA, CA 91803-8800
(626) 299-3366
Mailing address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 846-4104
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
A30975
CA
261QP2300X
Primary Care Clinic/Center
A30975
CA
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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