Organization
PEDIATRIC AND FAMILY MEDICAL CENTER
Active
Organization
PEDIATRIC AND FAMILY MEDICAL CENTER
Active
Parent organization
PEDIATRIC AND FAMILY MEDICAL CENTER
Other names
EISNER HEALTH OPTOMETRY AT ENCINO
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC AND FAMILY MEDICAL CENTER
Authorized official
MONICA MCCARTHY (SR VP, COO & INTERIM CEO)
(213) 747-5542
Entity
Organization
Contact information
Practice address
5400 BALBOA BLVD STE 131, ENCINO, CA 91316-5204
(213) 747-5542
Mailing address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 747-5542
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
04/18/2024
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