Organization
PEDIATRIC AND FAMILY MEDICAL CENTER
Active
Other names
EISNER PEDIATRIC AND FAMILY MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MCCARTHY (SR VP, COO & INTERIM-CEO)
(213) 746-1037
Entity
Organization
Contact information
Practice address
1400 S GRAND AVE, LOS ANGELES, CA 90015-3048
(213) 746-1037
Mailing address
1530 S OLIVE ST, LOS ANGELES, CA 90015-3023
(213) 746-1037
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/18/2011
Last updated
04/18/2024
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