HERALD CHRISTIAN HEALTH CENTER NPI 1063835213

NPI Information

NPI: 1063835213
Provider Name: HERALD CHRISTIAN HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1661 HANOVER RD STE 103
CITY OF INDUSTRY, CA
ZIP 91748
Phone: (626) 286-8700
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HERALD CHRISTIAN HEALTH CENTER is a federally qualified health center (fqhc) clinic center in City Of Industry, CA. HERALD CHRISTIAN HEALTH CENTER NPI is 1063835213. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1661 HANOVER RD STE 103
CITY OF INDUSTRY, CA
ZIP 91748-796
Phone: (626) 286-8700
Fax: (626) 286-8650

The provider's authorized official is Emily Szeto .
The authorized official title is Chief Administration Officer and has the following contact phone number (626) 286-8700.

The enumeration date for this NPI number is 1/23/2014 and was last updated on 10/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		550000475	CALIFORNIA	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	550003224	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CMM71178F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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