ADVANCED FAMILY CARE MEDICAL GROUP INC (NPI# 1033267216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033267216 |
| Entity Type | Organization |
| Organization Name | ADVANCED FAMILY CARE MEDICAL GROUP INC |
| Practice Address |
1201 E Florence Ave Los Angeles CA 90001-2432 |
| Practice Telephone | 3235880084 |
| Mailing Telephone | 3235880084 |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LORNA JOHNSON (ADMINISTRATOR) |
| Authorized Official Telephone | 3235880084 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
A33986 | CA | Ambulatory Health Care Facilities |
| X | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
NMW1068 | CA | Ambulatory Health Care Facilities |
| X | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A88137 | CA | Ambulatory Health Care Facilities |
| X | 261QP2300X |
Clinic/Center Specialization: Primary Care |
PA16806 | CA | Ambulatory Health Care Facilities |
| X | 261QP2300X |
Clinic/Center Specialization: Primary Care |
G42217 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0077511 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730372038 | Advanced Family Care Medical Group Inc | Clinic/Center | 2704 W Manchester Blvd, Inglewood, CA 90305-2436 | 2007-08-21 |
| Street Address |
1201 E FLORENCE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90001-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417005695 | Lorna M Johnson | Nurse Practitioner | 1201 E Florence Ave, Los Angeles, CA 90001-2432 | 2007-01-06 |
| 1215342803 | Compassion for Teen Life, Inc. | Clinic/Center | 1201 E Florence Ave, Los Angeles, CA 90001-2432 | 2014-06-23 |
| 1184047748 | Advanced Family Care Medical Laboratory | Clinical Medical Laboratory | 1201 E Florence Ave, Los Angeles, CA 90001-2432 | 2014-01-31 |
| 1679903116 | Advanced Family Care Home Health | Home Health | 1201 E Florence Ave, Los Angeles, CA 90001-2432 | 2013-11-20 |
| 1164768412 | Sonia Velasco | Nurse Practitioner | 1201 E Florence Ave, Los Angeles, CA 90001-2432 | 2012-12-13 |
| 1356677454 | Rose Nneka Ekejiuba | Nurse Practitioner | 1201 E Florence Ave, Los Angeles, CA 90001-2432 | 2009-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730722539 | Lisa Crockom | Technician | 1838 E. Badillo Street Apt 1, Los Angeles, CA 90001 | 2019-10-24 |
| 1679047229 | Rosario Montes | Behavior Technician | 6907 Hooper Ave, Los Angeles, CA 90001 | 2019-01-16 |
| 1467902031 | Fun Dental 4 Kids 2 | Dentist | 1014 E Manchester Ave, Suite I, Los Angeles, CA 90001 | 2016-10-07 |
| 1295100709 | Central City Community Health Center | Clinic/Center | 1236 E Florence Ave, Los Angeles, CA 90001 | 2015-12-09 |
| 1437596327 | Natasha Nasha Andrews | Clinic/Center | 1620 E. 83rd Street, Los Angeles, CA 90001 | 2013-05-31 |
| 1679827943 | Denise Michelle Betters | Counselor | 8019 S Compton Ave., Los Angeles, CA 90001 | 2012-11-07 |
| 1790050763 | Animo Locke Tech Charter High School | Community/Behavioral Health | 810 E. 111th Street, Room # 113 & 114, Los Angeles, CA 90001 | 2012-03-09 |
| 1093021602 | Larthia Renard Dunham | Social Worker | 8019 S. Compton Blvd., Los Angeles, CA 90001 | 2010-08-20 |
| 1114258761 | Central City Comm Hlt Ctr Mobile Unit | General Practice | 5986 Central Avenue, Los Angeles, CA 90001 | 2010-01-21 |
| 1457688517 | Yesenia Cruz | Dental Assistant | 1119 E 64th St., Los Angeles, CA 90001 | 2009-11-11 |
| Find all providers in zip 90001 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1083142376 | Advanced Hematology Oncology Medical Group Inc | Clinic/Center | 6221 Wilshire Blvd Ste 504, Los Angeles, CA 90048-5223 | 2017-05-31 |
| 1033516943 | Uc Regents | Clinic/Center | 10833 Le Conte, Los Angeles, CA 90095-1752 | 2014-11-21 |
| 1962811265 | County of Los Angeles - Auditor Controller | Clinic/Center | 1670 East 120 Th Street, Martin Luther King Jr. Pharmacy, Los Angeles, CA 90059-3019 | 2014-08-12 |
| 1952526915 | Silka Enterprises Inc | Clinic/Center | 5230 W Sunset Blvd Ste B, Los Angeles, CA 90027-5736 | 2007-04-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90001 |
Please comment or provide details below to improve the information on ADVANCED FAMILY CARE MEDICAL GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.