Organization
APAIT HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JURY CANDELARIO (PRESIDENT/CEO)
(213) 553-1830
Entity
Organization
Contact information
Practice address
1730 W OLYMPIC BLVD, SUITE 300, LOS ANGELES, CA 90015-1019
(213) 553-1830
(213) 553-1833
Mailing address
1730 W OLYMPIC BLVD, SUITE 100, LOS ANGELES, CA 90015-1019
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
COMMUNITY CLINIC
CA
261QP2300X
Primary Care Clinic/Center
PRIMARY CARE CLINIC
CA
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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