Organization
VIA CARE COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA FUENTES (DIRECTOR OF REVENUE CYCLE MANAGEMEN)
(323) 268-9191
Entity
Organization
Contact information
Practice address
3600 WORKMAN MILL ROAD, BUILDING SS ROOM 230, WHITTIER, CA 90601
(562) 908-3498
Mailing address
501 S ATLANTIC BLVD, LOS ANGELES, CA 90022-2621
(323) 268-9191
(323) 268-9119
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FQHC
—
CA
Enumeration date
01/25/2022
Last updated
01/25/2022
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