SOUTH CENTRAL FAMILY HEALTH CENTER NPI 1588908305

NPI Information

SOUTH CENTRAL FAMILY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. SOUTH CENTRAL FAMILY HEALTH CENTER NPI is 1588908305. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellness Center At Jefferson High School.

The provider's business location address is:

3410 S. HOOPER AVE.
LOS ANGELES, CA
ZIP 90011-161
Phone: (323) 908-4200
Fax: (323) 908-4256

The provider's authorized official is Richard A Veloz .
The authorized official title is Chief Executive Officer and has the following contact phone number (323) 908-4247.

The CLIA number assigned to this NPI record is 05D2187520 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2012 and was last updated on 7/2/2021.

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:

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