Organization · Type 2 NPI

Pediatric and Family Medical Center

Federally Qualified Health Center (FQHC) · Encino, CA

NPI number 1215586367 Active

Practice location

5400 Balboa Blvd Ste 131
Encino, CA 91316-5204

Call (213) 747-5542 Map

Mailing address

1530 S Olive St
Los Angeles, CA 90015-3023

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

NPI record

NPI: 1215586367
Entity type: Organization (Type 2)
Issued: Sep 10, 2019
Last updated: Apr 18, 2024
Status: Active
Subpart: Yes of Pediatric and Family Medical Center

Other names

<unavail>
Eisner Health Optometry at Encino · doing business as
Eisner Health Optometry at Encino · doing business as

Authorized official

Monica McCarthy
SR VP, COO & Interim CEO
(213) 747-5542

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215586367

Pediatric and Family Medical Center's National Provider Identifier is 1215586367, issued on Sep 10, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Encino, CA. The record was last updated on Apr 18, 2024.