Organization
FAMILY HEALTH MEDICAL CENTER INC.
Active
Other names
FAMILY HEALTH MEDICAL CENTER, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED AL-HASAN M.D. (OWNER/PHYSICIAN)
(209) 827-4747
Entity
Organization
Contact information
Practice address
1045 5TH ST, LOS BANOS, CA 93635-4204
(209) 827-4747
(209) 827-5831
Mailing address
1045 5TH ST, LOS BANOS, CA 93635-4204
(209) 827-4747
(209) 827-5831
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
G74536
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841525862
—
CA
Enumeration date
10/08/2009
Last updated
05/15/2015
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