Organization
VIA CARE COMMUNITY HEALTH CENTER
Active
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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