Organization
WESTSIDE FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA ANN FARMER (PRESIDENT/CEO)
(309) 450-4773
Entity
Organization
Contact information
Practice address
3861 SEPULVEDA BLVD, CULVER CITY, CA 90230-4605
(309) 450-4773
(310) 450-0873
Mailing address
3861 SEPULVEDA BLVD, CULVER CITY, CA 90230-4605
(309) 450-4773
(310) 450-0873
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
EAP11798F
CA
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EAP11798F
EAPC
CA
Enumeration date
01/30/2008
Last updated
08/25/2020
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