Organization
H STREET CLINIC
Active
Parent organization
550000837
Other names
H Street Clinic Coachella
Organization subpart
Yes
Provider details
NPI number
Legal business name
550000837
Authorized official
ELEANOR PEREZ (COO)
(909) 381-0803
Entity
Organization
Contact information
Practice address
1490-1494 6TH ST, COACHELLA, CA 92236-1712
(760) 314-3714
(760) 332-4877
Mailing address
714 W OLYMPIC BLVD STE 801, LOS ANGELES, CA 90015-1440
(213) 536-5814
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
11/10/2021
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