Organization
KEDREN COMMUNITY HEALTH CENTER, INC.
Active
Other names
Kedren BH Avalon
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARLE CHARLES (CHIEF INFORMATION OFFICER)
(323) 432-5093
Entity
Organization
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011
(323) 432-5093
Mailing address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 432-5093
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2016
Last updated
10/02/2018
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