| NPI | 1184224156 |
|---|---|
| Other Name | VIA CARE COMMUNITY HEALTH CENTER-LATTC STUDENT HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | VANESSA FUENTES Director Of Revenue Cycle Managemen 323-268-9191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2024-05-31 |