Organization
BANJ HEALTH CENTER, INC.
Active
Parent organization
BANJ HEALTH CENTER, INC.
Other names
Woman and Family Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANJ HEALTH CENTER, INC.
Authorized official
MRS. MARIE NERLANDE LAMOTHE (EXECUTIVE DIRECTOR)
(562) 639-4843
Entity
Organization
Contact information
Practice address
12954 HAWTHORNE BLVD STE 101, HAWTHORNE, CA 90250-4418
(424) 269-0121
(424) 269-0381
Mailing address
12954 HAWTHORNE BLVD STE 101, HAWTHORNE, CA 90250-4418
(424) 269-0121
(424) 269-0381
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
960001116
CA
261QP2300X
Primary Care Clinic/Center
Primary
960001116
CA
Other
Enumeration date
11/26/2012
Last updated
02/11/2014
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