Organization
VIA CARE COMMUNITY HEALTH CENTER
Active
Organization
VIA CARE COMMUNITY HEALTH CENTER
Active
Parent organization
VIA CARE COMMUNITY HEALTH CENTER
Other names
Via Care Community Health Center-LATTC Student Health Center
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
400 WEST WASHINGTON BLVD., THE HUB D3-ROOM 107, LOS ANGELES, CA 90015
(323) 268-9191
Mailing address
3601 E 1ST ST, LOS ANGELES, CA 90063-2325
(323) 268-9191
(323) 269-9119
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
05/31/2024
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