| Friends Of Family Health Center | |
|
565 S Azusa Way La Puente CA 91744-5113 | |
| (626) 913-4795 | |
| (562) 690-3182 |
| Full Name | Friends Of Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 565 S Azusa Way, La Puente, California |
| Authorized Official Name and Position | Nicolis Arias (CREDENTIALING) |
| Authorized Official Contact | 5626900400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Friends Of Family Health Center 501 S Idaho St Ste 100 La Habra CA 90631-6047 Ph: (562) 690-0400 | Friends Of Family Health Center 565 S Azusa Way La Puente CA 91744-5113 Ph: (626) 913-4795 |
| NPI Number | 1124758883 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 09/30/2022 |
| Medicare PECOS PAC ID | 7315120730 |
|---|---|
| Medicare Enrollment ID | O20221117001688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124758883 | NPI | - | NPPES |
| FHCX10068 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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