| Central Neighborhood Health Foundation - Fontana | |
|
714 W. Olympic Blvd Suite # 801 Los Angeles CA 90015 | |
| (626) 488-3111 | |
| (323) 206-5402 |
| Full Name | Central Neighborhood Health Foundation - Fontana |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 714 W. Olympic Blvd Suite # 801, Los Angeles, California |
| Authorized Official Name and Position | Nusrath Fatima Jahangir (VP) |
| Authorized Official Contact | 3232345000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Neighborhood Health Foundation - Fontana 7965 Sierra Ave Suite # E Fontana CA 92336 Ph: (909) 356-4459 | Central Neighborhood Health Foundation - Fontana 714 W. Olympic Blvd Suite # 801 Los Angeles CA 90015 Ph: (626) 488-3111 |
| NPI Number | 1083148753 |
|---|---|
| Provider Enumeration Date | 04/19/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083148753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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