QUEENSCARE FAMILY CLINICS (NPI# 1043381213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043381213 |
| Entity Type | Organization |
| Organization Name | QUEENSCARE FAMILY CLINICS |
| Other Organization Name | QUEENSCARE FAMILY CLINICS - WILSHIRE |
| Practice Address |
3242 W 8th St Los Angeles CA 90005-2176 |
| Mailing Address |
1300 N Vermont Ave Suite 1002 Los Angeles CA 90027-6005 |
| Practice Telephone | 2133689779 |
| Practice Fax Number | 2133689793 |
| Mailing Telephone | 3236694303 |
| Mailing Fax Number | 3239536244 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2009-05-08 |
| Authorized Official Name | MR. TERRY BONECUTTER (PRESIDENT & CEO) |
| Authorized Official Telephone | 3236694303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
960001012 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| QueensCare Family Clinics - Wilshire | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053677401 | Queenscare Family Clinics | Dentist | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2012-04-10 |
| 1215293733 | Queenscare Family Clinics | Dentist | 4618 Fountain Ave, Los Angeles, CA 90029-1977 | 2012-04-10 |
| 1043476609 | Queenscare Family Clinics | Clinic/Center | 1300 N Vermont Ave, Suite 809, Los Angeles, CA 90027-6005 | 2008-08-04 |
| Street Address |
3242 W 8TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90005-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891732798 | Azita Rayet | Dentist | 3242 W 8th St, Los Angeles, CA 90005-2176 | 2006-05-31 |
| 1821365867 | Acu Chiro Clinic | Chiropractor | 3242 W 8th St, Suite 100, Los Angeles, CA 90005-2176 | 2011-11-18 |
| 1174854723 | Guasha Research Institute Corp. | Acupuncturist | 3242 W 8th St, 101, Los Angeles, CA 90005-2176 | 2010-01-21 |
| 1215182613 | Shelli Blake | Dental Hygienist | 3242 W 8th St, Los Angeles, CA 90005-2176 | 2008-11-26 |
| 1790728624 | Hyun Hong Kim | Family Medicine | 3242 W 8th St, Los Angeles, CA 90005-2176 | 2006-06-14 |
| 1073554184 | Yung Soon Ahn | Pediatrics | 3242 W 8th St, Los Angeles, CA 90005-2176 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964680 | Hong Il Kim | Dentist | 610 South Havard Blvd, 101, Los Angeles, CA 90005 | 2020-02-13 |
| 1467929265 | Galina Vardanyan | Optometrist | 621 S Western Ave Ste 214, Los Angeles, CA 90005 | 2018-10-30 |
| 1740761642 | Kyung Sook Chung | Acupuncturist | 603 S Mariposa Ave #102, Los Angeles, CA 90005 | 2018-08-28 |
| 1891274155 | Chinese Healing Arts, Inc | Acupuncturist | 2837 Hyperion Ave, Los Angeles, CA 90005 | 2018-08-08 |
| 1992298624 | Hak S. Choi Dds Inc | Dentist | 680 Wilshire Pl Ste 314, Los Angeles, CA 90005 | 2018-06-07 |
| 1891287918 | Marlene Sanchez Torres | Counselor | 679 S New Hampshire Ave # 400, Los Angeles, CA 90005 | 2018-06-04 |
| 1255828562 | Arianna Houriani | Student in an Organized Health Care Education/Training Program | 714 S Plymouth Blvd, Los Angeles, CA 90005 | 2018-04-23 |
| 1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
| 1255859385 | Tiany Siao Tian So | Dietitian, Registered | 740 S St Andrew Pl, Apt 15, Los Angeles, CA 90005 | 2017-09-08 |
| 1962931246 | Jooyong Shin | Acupuncturist | 400 S Western Ave #203, Los Angeles, CA 90005 | 2017-06-08 |
| Find all providers in zip 90005 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224156 | Via Care Community Health Center | Clinic/Center | 400 West Washington Blvd., The Hub D3-room 107, Los Angeles, CA 90015 | 2020-10-29 |
| 1649896903 | Jwch Institute, Inc. | Clinic/Center | 964 N Vermont Ave, Los Angeles, CA 90029-3529 | 2020-06-23 |
| 1306461074 | Jwch Institute, Inc | Clinic/Center | 855 N Vermont Ave, Los Angeles, CA 90029-3516 | 2020-06-09 |
| 1578186144 | Universal Community Health Center | Clinic/Center | 5460 E Beverly Blvd, Los Angeles, CA 90022-2208 | 2020-05-18 |
| 1114556263 | Arm 4 Arm Foundation | Clinic/Center | 231 W Vernon Ave., Suite 101, 201, Los Angeles, CA 90037 | 2020-04-01 |
| 1225673262 | Complete Care Community Health Center, Inc | Clinic/Center | 1300 N Vermont Ave Ste 606, Los Angeles, CA 90027-6088 | 2019-11-13 |
| 1811548712 | Jwch Institute, Inc | Clinic/Center | 1670 E 120 Street, West Support Bldg #14 Fl 2, Los Angeles, CA 90059-3026 | 2019-09-23 |
| 1902453731 | Altamed Health Services Corp | Clinic/Center | 2100 W 3rd St Ste 400, Los Angeles, CA 90057-2290 | 2019-08-26 |
| 1992269757 | Los Angeles Christian Health Centers | Clinic/Center | 325 7th Street, Los Angeles, CA 90014 | 2019-01-25 |
| 1083132849 | Altamed Health Services Corp | Clinic/Center | 2100 W 3rd St Ste 220, Los Angeles, CA 90057-1993 | 2017-08-31 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90005 |
Please comment or provide details below to improve the information on QUEENSCARE FAMILY CLINICS.
| 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.