Organization
FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC.
Active
Parent organization
FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC.
Other names
Hawaiian Gardens Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC.
Authorized official
MRS. RAQUEL R. VILLA (CEO / COO)
(562) 928-9600
Entity
Organization
Contact information
Practice address
22310 WARDHAM AVE, HAWAIIAN GARDENS, CA 90716-1740
(562) 420-2433
(562) 429-2053
Mailing address
22310 WARDHAM AVE, HAWAIIAN GARDENS, CA 90716-1740
(562) 420-2433
(562) 429-2053
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
960001120
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70824F
—
CA
Enumeration date
02/21/2007
Last updated
05/08/2015
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