Organization · Type 2 NPI

Benevolence Industries Incorporated

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

NPI number 1578763207 Active

Practice location

3631 Crenshaw Blvd, 109
Los Angeles, CA 90016-4869

Call (323) 732-0100 Map

Fax (323) 732-0104

Mailing address

1010 Crenshaw Blvd Ste 100
Torrance, CA 90501-2055

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center 261Q00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400X550001971 (CA)

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

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About NPI 1578763207

Benevolence Industries Incorporated's National Provider Identifier is 1578763207, issued on Jul 20, 2007. 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 Jan 21, 2021.