Organization
ALL CARE ONE COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KONONENKO (CFO)
(323) 277-8900
Entity
Organization
Contact information
Practice address
7300 SANTA FE AVE., HUNTINGTON PARK, CA 90255-7531
(323) 277-8900
(323) 277-8902
Mailing address
7300 SANTA FE AVE., HUNTINGTON PARK, CA 90255-5731
(323) 277-8900
(323) 277-8902
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
10/21/2010
Last updated
05/25/2016
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