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Organization

VIA CARE COMMUNITY HEALTH CENTER

Active
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Organization

VIA CARE COMMUNITY HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NINA FALCETTI (DIRECTOR OF HR)
(323) 268-9191
Entity
Organization

Contact information

Practice address
507 S ATLANTIC BLVD, LOS ANGELES, CA 90022-2621
(323) 268-9191
(323) 268-9119
Mailing address
507 S ATLANTIC BLVD, LOS ANGELES, CA 90022-2621
(323) 268-9191
(323) 268-9119

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
261QC1500X
Community Health Clinic/Center
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
751121
MEDICARE PTAN
CA
01
HG353A
MEDICARE PTAN
CA
Enumeration date
07/30/2012
Last updated
02/22/2022
Update your record

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