| Herd Community Development Corporation | |
|
6820 La Tijera Blvd Ste. 217 Los Angeles CA 90045-1908 | |
| (310) 568-0244 | |
| (310) 568-8202 |
| Full Name | Herd Community Development Corporation |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 6820 La Tijera Blvd, Los Angeles, California |
| Authorized Official Name and Position | Kimberly Williams-ryan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3105007249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herd Community Development Corporation Po Box 881329 Los Angeles CA 90009-7329 Ph: (310) 641-0870 | Herd Community Development Corporation 6820 La Tijera Blvd Ste. 217 Los Angeles CA 90045-1908 Ph: (310) 568-0244 |
| NPI Number | 1386874840 |
|---|---|
| Provider Enumeration Date | 07/19/2009 |
| Last Update Date | 07/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386874840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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