Organization
SOUTH CENTRAL FAMILY HEALTH CENTER
Active
Other names
Huntington Park Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A VELOZ JD,MPH (CHIEF EXECUTIVE OFFICER)
(323) 908-4247
Entity
Organization
Contact information
Practice address
2680 SATURN AVE STE 220&280, HUNTINGTON PARK, CA 90255-4377
(323) 908-4200
(323) 908-4256
Mailing address
4425 S CENTRAL AVE, LOS ANGELES, CA 90011-3629
(323) 908-4200
(323) 908-4256
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669799896
—
CA
Enumeration date
04/28/2010
Last updated
01/25/2012
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