BOYLE HEIGHTS FAMILY HEALTH CENTER (NPI# 1881824134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881824134 |
Entity Type | Organization |
Organization Name | BOYLE HEIGHTS FAMILY HEALTH CENTER |
Practice Address |
1701 E Cesar E Chavez Ave Suite 238 A Los Angeles CA 90033-2464 |
Mailing Address |
4425 S Central Ave Los Angeles CA 90011-3629 |
Practice Telephone | 3239084237 |
Practice Fax Number | 3239084256 |
Mailing Telephone | 3239084237 |
Mailing Fax Number | 3239084256 |
Enumeration Date | 2009-07-21 |
Last Update Date | 2009-07-21 |
Authorized Official Name | MR. RICHARD A. VELOZ (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 3239084247 |
Authorized Official Credential | JD, MPH |
Is Organization Subpart | Y |
Parent Organization Name | SOUTH CENTRAL FAMILY HEALTH CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Street Address |
1701 E CESAR E CHAVEZ AVE SUITE 238 A |
City | LOS ANGELES |
State | CA |
Zip Code | 90033-2464 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013913722 | Ronald Bruce Johnson | Obstetrics & Gynecology | 1701 E Cesar E Chavez Ave, Ste 225/200, Los Angeles, CA 90033-2496 | 2005-06-27 |
1538521364 | Ryan Keith O'malley | Nurse Practitioner | 1701 E Cesar E Chavez Ave, Los Angeles, CA 90033-2464 | 2016-03-22 |
1184085649 | Patricia Kelly | Family Medicine | 1701 E Cesar E Chavez Ave, Suite 230, Los Angeles, CA 90033-2464 | 2016-03-11 |
1598122160 | Julieta Garcia La Rocca | Family Medicine | 1701 E Cesar E Chavez Ave, Los Angeles, CA 90033-2464 | 2016-01-26 |
1992105357 | Bethany Bustamante | Student in an Organized Health Care Education/Training Program | 1701 E Cesar E Chavez Ave, Los Angeles, CA 90033-2464 | 2014-09-03 |
1679973267 | Adventist Health Physicians Network | Pediatrics | 1701 E Cesar E Chavez Ave, #456, Los Angeles, CA 90033-2464 | 2014-09-02 |
1326458613 | Silvia Munoz Martin Sanchez | Internal Medicine | 1701 E Cesar E Chavez Ave, Suite 100, Los Angeles, CA 90033-2464 | 2014-05-07 |
1689090656 | Fusako Hatasaka | Nurse Practitioner | 1701 E Cesar E Chavez Ave, Suite 305, Los Angeles, CA 90033-2464 | 2014-03-13 |
1477974111 | Arezoo Fozailoff | Pediatrics | 1701 E Cesar E Chavez Ave, Suite 456, Los Angeles, CA 90033-2464 | 2013-12-24 |
1174944029 | Emily Daly | Obstetrics & Gynecology | 1701 E Cesar E Chavez Ave, Suite 200, Los Angeles, CA 90033-2464 | 2013-12-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
Find all providers in zip 90033 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90033 |
Please comment or provide details below to improve the information on BOYLE HEIGHTS FAMILY HEALTH CENTER.
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.