| Bienvenidos Healthy Start Community Clinic At Wilson High School | |
|
4500 Multnomah St Los Angeles CA 90032-3703 | |
| (323) 222-0970 | |
| (323) 222-0878 |
| Full Name | Bienvenidos Healthy Start Community Clinic At Wilson High School |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 4500 Multnomah 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 Healthy Start Community Clinic At Wilson High School 316 W 2nd St Suite 800 Los Angeles CA 90012-3504 Ph: (213) 785-5906 | Bienvenidos Healthy Start Community Clinic At Wilson High School 4500 Multnomah St Los Angeles CA 90032-3703 Ph: (323) 222-0970 |
| NPI Number | 1629416250 |
|---|---|
| Provider Enumeration Date | 06/05/2013 |
| Last Update Date | 06/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629416250 | NPI | - | NPPES |
| 05D2050805 | Other | CA | CLIA |
| 00343513 | Other | CA | CLR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 960001182 (California) | Primary |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
Special Service For Groups, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5811 S San Pedro St, Los Angeles, CA 90011 Phone: 213-553-1800 | |
Altamed Health Services Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Citadel Dr, Ste 490, Los Angeles, CA 90040 Phone: 323-725-8751 Fax: 323-889-7399 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |
Apla Health & Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005 Phone: 213-201-1623 Fax: 213-201-1595 | |
Hyo Rang Lee Md Phd Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4465 Wilshire Blvd, Ste 303, Los Angeles, CA 90010 Phone: 213-254-7103 Fax: 714-220-2301 | |
Croft Living Home, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 458 N Croft Ave, Los Angeles, CA 90048 Phone: 323-655-5060 Fax: 323-651-1461 |