TRI-STATE COMMUNITY HEALTHCARE CENTER is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. TRI-STATE COMMUNITY HEALTHCARE CENTER NPI is 1699303628. The provider is registered as an organization entity type.
The provider's business location address is:
4137 VERDUGO RD
LOS ANGELES, CA
ZIP 90065-820
Phone: (323) 344-9255
Fax: (323) 344-8776
The provider's authorized official is Aram Manoukian .
The authorized official title is Ceo and has the following contact phone number (323) 297-0884.
The CLIA number assigned to this NPI record is 05D2172975 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/27/2020 and was last updated on 3/27/2020.