Organization
VIA CARE COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA FALCETTI (DIRECTOR OH HUMAN RECOURSES)
(323) 268-9191
Entity
Organization
Contact information
Practice address
5017 WHITTIER BLVD, LOS ANGELES, CA 90022-3116
(323) 268-9191
Mailing address
501 S ATLANTIC BLVD, LOS ANGELES, CA 90022-2621
(323) 268-9191
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQHC
—
CA
Enumeration date
02/02/2021
Last updated
02/02/2021
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