QUEENSCARE HEALTH CENTERS NPI 1801967062

NPI Information

QUEENSCARE HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. QUEENSCARE HEALTH CENTERS NPI is 1801967062. The provider is registered as an organization entity type.
The provider Other Name Is Queenscare Health Centers - Eagle Rock.

The provider's business location address is:

4448 YORK BLVD
LOS ANGELES, CA
ZIP 90041-328
Phone: (323) 344-5233
Fax: (323) 344-5237

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 05D0957562 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 1/26/2021.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.