| White Memorial Community Health Center | |
|
1828 E Cesar E Chavez Ave Ste 5000 Los Angeles CA 90033 | |
| (323) 987-1200 | |
| (323) 987-1212 |
| Full Name | White Memorial Community Health Center |
|---|---|
| Speciality | Social Worker |
| Location | 1828 E Cesar E Chavez Ave Ste 5000, Los Angeles, California |
| Authorized Official Name and Position | Carl E Coan (CEO) |
| Authorized Official Contact | 3239871222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White Memorial Community Health Center 1828 E Cesar E Chavez Ave Ste 6100 Los Angeles CA 90033-2597 Ph: () - | White Memorial Community Health Center 1828 E Cesar E Chavez Ave Ste 5000 Los Angeles CA 90033 Ph: (323) 987-1200 |
| NPI Number | 1083003321 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 12/14/2023 |
| Certification Date | 12/14/2023 |
| Medicare PECOS PAC ID | 7315218260 |
|---|---|
| Medicare Enrollment ID | O20170810002256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083003321 | NPI | - | NPPES |
| Provider Name | Antonio Zamora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164451571 PECOS PAC ID: 2163462417 Enrollment ID: I20050505001251 |
| Provider Name | Taska K Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154300630 PECOS PAC ID: 6406864990 Enrollment ID: I20080428000640 |
| Provider Name | Alma A Munoz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972745487 PECOS PAC ID: 8022163575 Enrollment ID: I20090904000149 |
| Provider Name | Romana Crespo-belarde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922273549 PECOS PAC ID: 9032375233 Enrollment ID: I20120716000181 |
| Provider Name | Kaossar D Al Atassi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780020578 PECOS PAC ID: 9133351745 Enrollment ID: I20140414001957 |
| Provider Name | Cynthia L Willard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467589325 PECOS PAC ID: 6305887225 Enrollment ID: I20140811000006 |
| Provider Name | Ivet Hartonian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811158728 PECOS PAC ID: 6103044698 Enrollment ID: I20140825002054 |
| Provider Name | Paul N Gailiunas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831174184 PECOS PAC ID: 2769371418 Enrollment ID: I20140915002547 |
| Provider Name | Shawntel A Reddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598173767 PECOS PAC ID: 2466674056 Enrollment ID: I20141114002121 |
| Provider Name | Grace K Floutsis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518053735 PECOS PAC ID: 3476639212 Enrollment ID: I20141124002132 |
| Provider Name | Maria Lopez-patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689834020 PECOS PAC ID: 2062737919 Enrollment ID: I20150217001268 |
| Provider Name | Andrette T Ward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346333010 PECOS PAC ID: 2668798687 Enrollment ID: I20150310000005 |
| Provider Name | Arezoo Fozailoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477974111 PECOS PAC ID: 4688995178 Enrollment ID: I20150609002458 |
| Provider Name | Ann K Berdugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336694512 PECOS PAC ID: 7012295801 Enrollment ID: I20161028002190 |
| Provider Name | Ernie Guzman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811924491 PECOS PAC ID: 9234401050 Enrollment ID: I20170814002951 |
| Provider Name | George A Segura |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841224631 PECOS PAC ID: 1850669813 Enrollment ID: I20170814003179 |
| Provider Name | Francisco I Rincon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013952654 PECOS PAC ID: 9830467018 Enrollment ID: I20170815001121 |
| Provider Name | Lisa A Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437585718 PECOS PAC ID: 5597025767 Enrollment ID: I20180207003054 |
| Provider Name | Neda Momeni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386156644 PECOS PAC ID: 2860731197 Enrollment ID: I20190305001326 |
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