| Via Care Community Health Center | |
|
5800 Fulton Ave Suite 121 Student Union Valley Glen CA 91401-4062 | |
| (323) 268-9191 | |
| (323) 268-9119 |
| Full Name | Via Care Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5800 Fulton Ave, Valley Glen, California |
| Authorized Official Name and Position | Vanessa Fuentes (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 3232689191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Via Care Community Health Center 3601 E 1st St Los Angeles CA 90063-2325 Ph: (323) 268-9191 | Via Care Community Health Center 5800 Fulton Ave Suite 121 Student Union Valley Glen CA 91401-4062 Ph: (323) 268-9191 |
| NPI Number | 1679267231 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 06/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679267231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |