| East Los Angeles Health Task | |
|
2120 E 6th St Los Angeles CA 90023-1202 | |
| (323) 881-1112 | |
| (323) 261-0246 |
| Full Name | East Los Angeles Health Task |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2120 E 6th St, Los Angeles, California |
| Authorized Official Name and Position | Susanna Delgado Arellano (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3232612171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Los Angeles Health Task 2120 E 6th St Los Angeles CA 90023-1202 Ph: (323) 881-1112 | East Los Angeles Health Task 2120 E 6th St Los Angeles CA 90023-1202 Ph: (323) 881-1112 |
| NPI Number | 1770793754 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770793754 | NPI | - | NPPES |
| EAP00002F | Other | CA | EAPC STATE GRANT |
| CMM70727F | Medicaid | CA | |
| 10307 | Other | CA | PAMELA LEWIS FNP LIC# |
| C42346 | Other | CA | CORLISS SHELTON MD LIC# |
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