| Bienvenidos Children's Center, Inc | |
|
316 W 2nd St Suite 800 Los Angeles CA 90012-3504 | |
| (213) 785-5906 | |
| (213) 785-5914 |
| Full Name | Bienvenidos Children's Center, Inc |
|---|---|
| Speciality | General Practice |
| Location | 316 W 2nd St, Los Angeles, California |
| Authorized Official Name and Position | Jacobus Van Der Colff (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2137855923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bienvenidos Children's Center, Inc 316 W. 2nd Street Suite 800 Los Angeles CA 90012 Ph: (213) 785-5922 | Bienvenidos Children's Center, Inc 316 W 2nd St Suite 800 Los Angeles CA 90012-3504 Ph: (213) 785-5906 |
| NPI Number | 1124153820 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124153820 | NPI | - | NPPES |
| CMM70881F | Medicaid | CA | |
| EAP70881F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A63662 (California) | Primary |
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