Organization
SOUTH CENTRAL FAMILY HEALTH CENTER
Active
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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