Organization
CHARITY HEALTH
Active
Organization
CHARITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT AZURIN MD (CEO)
(323) 566-4111
Entity
Organization
Contact information
Practice address
4075 TWEEDY BLVD, SOUTH GATE, CA 90280-6146
(323) 566-4111
(323) 563-0439
Mailing address
4075 TWEEDY BLVD, SOUTH GATE, CA 90280-6146
(323) 566-4111
(323) 563-0439
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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