Unicare Community Health Center, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Los Angeles, CA. Organization (NPI-2).
NPI number1861925679
StatusActive
Last updated in NPPESMar 13, 2024
Details
- NPI
- 1861925679
- Entity type
- Organization (NPI-2)
- Legal business name
- Unicare Community Health Center, INC.
- Organization subpart
- No
- Enumeration date
- Apr 7, 2017
- Certification date
- Mar 13, 2024
- Last updated
- Mar 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
2409 N BroadwayLos Angeles, CA 90031-2218
Phone 323-225-8038 · Fax 323-225-2106
Mailing address
437 N Euclid AveOntario, CA 91762-3456
Phone 909-988-2555 · Fax 909-391-3081
Authorized official
Avetik Machkalyan
Chief Executive Officer
9099882555
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