Via Care Community Health Center
Clinic/Center, Federally Qualified Health Center (FQHC) in South Gate, CA. Organization (NPI-2).
NPI number1962098640
StatusActive
Last updated in NPPESMar 2, 2022
Details
- NPI
- 1962098640
- Entity type
- Organization (NPI-2)
- Legal business name
- Via Care Community Health Center
- Organization subpart
- No
- Enumeration date
- Dec 16, 2020
- Certification date
- Mar 2, 2022
- Last updated
- Mar 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
4476 Tweedy Blvd Ste BSouth Gate, CA 90280-6359
Phone 323-268-9191
Mailing address
501 S Atlantic BlvdLos Angeles, CA 90022-2621
Phone 323-268-9191 · Fax 323-268-9119
Authorized official
Vanessa Fuentes
Billing Manager
3232689191
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All 8 Federally Qualified Health Center (FQHC) providers in South Gate · All 695 providers in South Gate
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