SOUTH BAY FAMILY HEALTHCARE CENTER NPI 1871933945

NPI Information

NPI: 1871933945
Provider Name: SOUTH BAY FAMILY HEALTHCARE CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 05D1075441

Address:
270 E 223RD ST
CARSON, CA
ZIP 90745
Phone: (310) 802-6177
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SOUTH BAY FAMILY HEALTHCARE CENTER is a federally qualified health center (fqhc) clinic center in Carson, CA. SOUTH BAY FAMILY HEALTHCARE CENTER NPI is 1871933945. The provider is registered as an organization entity type.

The provider's business location address is:

270 E 223RD ST
CARSON, CA
ZIP 90745-804
Phone: (310) 802-6177
Fax: (310) 802-6178

The provider's authorized official is Jann Hamilton-lee .
The authorized official title is Ceo and has the following contact phone number (310) 802-6177.

The CLIA number assigned to this NPI record is 05D1075441 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/3/2013 and was last updated on 7/14/2014.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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