Organization · Type 2 NPI

South Central Family Health Center

Federally Qualified Health Center (FQHC) · Los Angeles, CA

NPI number 1578089447 Active

Practice location

4415 S Central Ave
Los Angeles, CA 90011-3629

Call (323) 908-4200 Map

Fax (323) 432-4330

Mailing address

4425 S Central Ave
Los Angeles, CA 90011-3629

Specialties and licenses

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

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

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NPI record

NPI: 1578089447
Entity type: Organization (Type 2)
Issued: Aug 22, 2017
Last updated: Jul 21, 2022
Status: Active

Other names

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South Central Family Dental & Medical · doing business as
South Central Family Dental & Medical · doing business as

Authorized official

Mr. Richard Veloz, JD
Chief Executive Officer
(323) 908-4247

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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 1578089447

South Central Family Health Center's National Provider Identifier is 1578089447, issued on Aug 22, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 21, 2022.