| Queenscare Family Clinics | |
|
3242 W 8th St Los Angeles CA 90005-2176 | |
| (213) 368-9779 | |
| (213) 368-9793 |
| Full Name | Queenscare Family Clinics |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3242 W 8th St, Los Angeles, California |
| Authorized Official Name and Position | Terry Bonecutter (PRESIDENT & CEO) |
| Authorized Official Contact | 3236694303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queenscare Family Clinics 1300 N Vermont Ave Suite 1002 Los Angeles CA 90027-6005 Ph: (323) 669-4303 | Queenscare Family Clinics 3242 W 8th St Los Angeles CA 90005-2176 Ph: (213) 368-9779 |
| NPI Number | 1043381213 |
|---|---|
| Provider Enumeration Date | 11/10/2006 |
| Last Update Date | 05/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043381213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 960001012 (California) | Primary |
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