Organization
SOUTH CENTRAL FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL RAMOS (C.F.O.)
(323) 908-4239
Entity
Organization
Contact information
Practice address
4425 S CENTRAL AVE, LOS ANGELES, CA 90011-3629
(323) 908-4239
(323) 908-4256
Mailing address
4425 S CENTRAL AVE, LOS ANGELES, CA 90011-3629
(323) 908-4239
(323) 908-4256
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
960000260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70315F
CANCER DETECTION PROGRAM
CA
01
—
EAP70315F
EAPC
CA
05
—
FHC70315F
—
CA
01
—
HAP70315F
FAMILY PLANNING
CA
Enumeration date
01/26/2007
Last updated
03/30/2016
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