Organization
MULTISERVICE FAMILY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVELYN S CLARK (PRESIDENT CEO)
(310) 412-0202
Entity
Organization
Contact information
Practice address
101 N LA BREA AVE, SUITE 301, INGLEWOOD, CA 90301-1769
(310) 412-0202
Mailing address
101 N LA BREA AVE, SUITE 301, INGLEWOOD, CA 90301-1769
(310) 412-0202
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
960000228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70110F
—
CA
Enumeration date
03/21/2007
Last updated
07/15/2009
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