South Bay Family Healthcare Center

LBN: South Bay Family Healthcare Center
South Bay Family Healthcare Center is an health care organization with primary practice located at 2114 Artesia Blvd , Redondo Beach CA 90278-3014. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. South Bay Family Healthcare Center can be contacted via phone (310) 318-2521, or through Hamilton-Lee, Jann via phone (310) 802-6177.

Contact Information

Primary practice address
2114 Artesia Blvd Redondo Beach CA 90278-3014
Phone: (310) 318-2521
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hamilton-Lee, Jann
Phone: (310) 802-6177

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1083962005
LBN Legal business name South Bay Family Healthcare Center
DBA Doing business as
Authorized official Hamilton-Lee, Jann
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2012
Last updated Aug 23rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083962005 NPPES
California MEDICAID FHC70843F

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