Organization · Type 2 NPI

Tri-State Community Healthcare Center

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

NPI number 1699303628 Active

Practice location

4137 Verdugo Rd
Los Angeles, CA 90065-3820

Call (323) 344-9255 Map

Fax (323) 344-8776

Mailing address

4141 1/2 Verdugo Rd
Los Angeles, CA 90065-3820

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1699303628

Tri-State Community Healthcare Center's National Provider Identifier is 1699303628, issued on Mar 27, 2020. 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 Mar 27, 2020.