Organization
SOUTH CENTRAL FAMILY HEALTH CENTER
Active
Other names
South Central Family Dental & Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD VELOZ JD (CHIEF EXECUTIVE OFFICER)
(323) 908-4247
Entity
Organization
Contact information
Practice address
4415 S CENTRAL AVE, LOS ANGELES, CA 90011-3629
(323) 908-4200
(323) 432-4330
Mailing address
4425 S CENTRAL AVE, LOS ANGELES, CA 90011-3629
(323) 908-4247
(323) 908-4256
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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