| Organization Name: | FAMILY HEALTH CARE CENTERS OF GREATER LOS ANGELES, INC. |
| NPI Number: | 1073722492 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAQUEL R. VILLA (CEO) |
| Mailing Address: | 6501 Garfield Ave Bell Gardens |
| State: | CA US |
| Postal Code: | 902011805 |
| Phone Number: | 5629289600 |
| Fax Number: | 5629278603 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |