Organization
VIA CARE COMMUNITY HEALTH CENTER
Active
Parent organization
VIA CARE COMMUNITY HEALTH CENTER
Other names
Via Care Community Health Center-Beverly
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIA CARE COMMUNITY HEALTH CENTER
Authorized official
VANESSA FUENTES (DIRECTOR OF REVENUE CYCLE MANAGEMEN)
(323) 268-9191
Entity
Organization
Contact information
Practice address
3420 W BEVERLY BLVD, MONTEBELLO, CA 90640-1539
(323) 268-9191
(323) 268-9119
Mailing address
3601 E 1ST ST, LOS ANGELES, CA 90063-2325
(323) 268-9191
(323) 268-9119
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQHC
—
CA
Enumeration date
04/16/2020
Last updated
05/31/2024
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