Via Care Community Health Center | |
5800 Fulton Ave Suite 121 Student Union Valley Glen CA 91401-4062 | |
(323) 268-9191 | |
(323) 268-9119 |
Full Name | Via Care Community Health Center |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 5800 Fulton Ave, Valley Glen, California |
Authorized Official Name and Position | Vanessa Fuentes (DIRECTOR OF REVENUE CYCLE) |
Authorized Official Contact | 3232689191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Via Care Community Health Center 3601 E 1st St Los Angeles CA 90063-2325 Ph: (323) 268-9191 | Via Care Community Health Center 5800 Fulton Ave Suite 121 Student Union Valley Glen CA 91401-4062 Ph: (323) 268-9191 |
NPI Number | 1679267231 |
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Provider Enumeration Date | 06/06/2023 |
Last Update Date | 06/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679267231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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