Individual
BRENDA BAHENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
SOUTH CENTRAL FAMILY HEALTH CENTER, 4425 S. CENTRAL AVE, LOS ANGELES, CA 90011
(323) 908-4200
Mailing address
3031 S VERMONT AVE, LOS ANGELES, CA 90007-3033
(323) 373-2400
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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