| Allied Care Community Health Center | |
|
10136 California Ave South Gate CA 90280-6008 | |
| (323) 566-4411 | |
| (323) 566-0390 |
| Full Name | Allied Care Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 10136 California Ave, South Gate, California |
| Authorized Official Name and Position | Maria Elena Carmona (CEO) |
| Authorized Official Contact | 3235664411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Care Community Health Center 10136 California Ave South Gate CA 90280-6008 Ph: (323) 566-4411 | Allied Care Community Health Center 10136 California Ave South Gate CA 90280-6008 Ph: (323) 566-4411 |
| NPI Number | 1396432233 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 12/23/2024 |
| Medicare PECOS PAC ID | 2769909886 |
|---|---|
| Medicare Enrollment ID | O20250512001937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396432233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Emile G Shenouda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760596845 PECOS PAC ID: 1456308188 Enrollment ID: I20050405001074 |
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