QUEENSCARE HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. QUEENSCARE HEALTH CENTERS NPI is 1639241888. The provider is registered as an organization entity type.
The provider Other Name Is Queenscare Health Centers - Hollywood.
The provider's business location address is:
4618 FOUNTAIN AVE
LOS ANGELES, CA
ZIP 90029-830
Phone: (323) 953-7170
Fax: (323) 663-2379
The provider's authorized official is Eloisa Perard .
The authorized official title is President & Ceo and has the following contact phone number (323) 669-4321.
The CLIA number assigned to this NPI record is 05D0917691 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/14/2006 and was last updated on 1/26/2021.