Organization
VIA CARE COMMUNITY HEALTH CENTER
Active
Organization
VIA CARE COMMUNITY HEALTH CENTER
Active
Other names
Via Care Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA FUENTES (DIRECTOR OF REVENUE CYCLE)
(323) 268-9191
Entity
Organization
Contact information
Practice address
5800 FULTON AVE, SUITE 121 STUDENT UNION, VALLEY GLEN, CA 91401-4062
(323) 268-9191
(323) 268-9119
Mailing address
3601 E 1ST ST, LOS ANGELES, CA 90063-2325
(323) 268-9191
(323) 268-9119
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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