Organization · NPI-2

Friends Of Family Health Center

Clinic/Center, Federally Qualified Health Center (FQHC) · La Habra, CA

NPI number1871818138
StatusActive
Last updated in NPPESApr 29, 2020

Details

NPI
1871818138
Entity type
Organization (NPI-2)
Legal business name
Friends Of Family Health Center
Organization subpart
No
Enumeration date
Mar 30, 2010
Certification date
Apr 29, 2020
Last updated
Apr 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)––Yes
208000000X PediatricsA106562CA
363LF0000X Nurse Practitioner, Family13382CA
1223P0221X Dentist, Pediatric Dentistry50015CA
207R00000X Internal MedicineA80057CA
208000000X PediatricsG51286CA
208000000X PediatricsA81700CA
208000000X Pediatrics20A9142CA
363LP0200X Nurse Practitioner, Pediatrics8539CA

Practice location

501 S Idaho St
Suite 100
La Habra, CA 90631-6047

Phone 562-690-0400 · Fax 562-690-3182

Mailing address

501 S Idaho St
Suite 100
La Habra, CA 90631-6047

Phone 562-690-0400 · Fax 562-690-3182

Authorized official

Dawn Ta
Chief Financial Officer
5626900400

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