VIA CARE COMMUNITY HEALTH CENTER NPI 1194293282

NPI Details

VIA CARE COMMUNITY HEALTH CENTER is a pharmacy in Los Angeles, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. VIA CARE COMMUNITY HEALTH CENTER NPI is 1194293282. The provider is registered as an organization entity type.
The provider Other Name Is Via Care Community Health Center-pharmacy.

The provider's business location address is:

615 S ATLANTIC BLVD
LOS ANGELES, CA
ZIP 90022-211
Phone: (323) 268-9191

The provider's authorized official is Vanessa Fuentes .
The authorized official title is Director Of Revenue Cycle Managemen and has the following contact phone number (213) 268-9191.

The CLIA number assigned to this NPI record is 05D0972192 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2018 and was last updated on 5/31/2024.

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: