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Organization

ARROYO VISTA FAMILY HEALTH FOUNDATION

Active
Other names
Arroyo Vista Family Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LORRAINE ESTRADAS RN MPH (CHIEF EXECUTIVE OFFICER)
(323) 254-5291
Entity
Organization

Contact information

Practice address
4837 HUNTINGTON DR N, LOS ANGELES, CA 90032-1981
(323) 225-0024
Mailing address
6000 N FIGUEROA ST, LOS ANGELES, CA 90042-4232
(323) 254-5291
(323) 254-4618

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
551140
MEDICARE OSCAR/CERTIFICATION
CA
01
W6070
MEDICARE PIN
CA
Enumeration date
07/29/2010
Last updated
12/29/2022
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