Organization
VIA CARE COMMUNITY HEALTH CENTER
Active
Organization
VIA CARE COMMUNITY HEALTH CENTER
Active
Other names
Via Care 607
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH VILLAR (CHIEF EXECUTIVE OFFICER)
(323) 268-9191
Entity
Organization
Contact information
Practice address
607 S ATLANTIC BLVD, LOS ANGELES, CA 90022
(323) 268-9191
(323) 268-9119
Mailing address
607 S ATLANTIC BLVD, LOS ANGELES, CA 90022-3211
(323) 268-9191
(323) 268-9119
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
03/02/2022
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