| NPI | 1023998986 |
|---|---|
| Other Name | TCC FAMILY HEALTH, HEALTHY AGING AT ST. MARY |
| Doing Business As | TCC FAMILY HEALTH, HEALTHY AGING AT ST. MARY |
| Entity Type | Organization |
| Authorized Contact | LOU LEVASA Operations & Licensing Specialist 562-264-3114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-09 |