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Village Health Foundation, INC.

Clinic/Center, Community Health in Los Angeles, CA. Organization (NPI-2).

NPI number1497897367
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1497897367
Entity type
Organization (NPI-2)
Legal business name
Village Health Foundation, INC.
Organization subpart
No
Enumeration date
Feb 13, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QC1500X Clinic/Center, Community Healthac6736CAYes

Practice location

4073-75 W. Pico Blvd.
Los Angeles, CA 90019-4308

Phone 323-733-0471 · Fax 323-733-6427

Mailing address

4073-75 W. Pico Blvd.
Los Angeles, CA 90019-4308

Phone 323-733-0471 · Fax 323-733-6427

Authorized official

Jewel Thais-Williams
Director
3237330471

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