| Pediatric And Family Medical Center | |
|
15477 Ventura Blvd Ste 100 Sherman Oaks CA 91403-3046 | |
| (213) 747-5542 | |
| Not Available |
| Full Name | Pediatric And Family Medical Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 15477 Ventura Blvd Ste 100, Sherman Oaks, California |
| Authorized Official Name and Position | Monica Mccarthy (SR VP, COO & INTERIM-CEO) |
| Authorized Official Contact | 2137475542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric And Family Medical Center 1530 S Olive St Los Angeles CA 90015-3023 Ph: (213) 747-5542 | Pediatric And Family Medical Center 15477 Ventura Blvd Ste 100 Sherman Oaks CA 91403-3046 Ph: (213) 747-5542 |
| NPI Number | 1477103299 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477103299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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