UNICARE COMMUNITY HEALTH CENTER INC. NPI 1861925679

NPI Information

UNICARE COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. UNICARE COMMUNITY HEALTH CENTER, INC. NPI is 1861925679. The provider is registered as an organization entity type.

The provider's business location address is:

2409 N BROADWAY
LOS ANGELES, CA
ZIP 90031-218
Phone: (323) 225-8038
Fax: (323) 225-2106

The provider's authorized official is Avetik Machkalyan .
The authorized official title is Chief Executive Officer and has the following contact phone number (909) 988-2555.

The CLIA number assigned to this NPI record is 05D2135663 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2017 and was last updated on 3/13/2024.

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:

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