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Contact Information

TOTAL FAMILY SUPPORT CLINIC
4909 CESAR CHAVEZ AVENUE
LOS ANGELES, CA90022
 Phone: 213-213-0581
 Fax: 213-213-0580
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for TOTAL FAMILY SUPPORT CLINIC

NPI Number 1336372895
LBN Legal business name TOTAL FAMILY SUPPORT CLINIC
Authorized official MARINA VERKHOVSKY - (DIRECTOR OF HR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2009
Last updated 06/24/2011 - About 15 years ago
Identifiers
CA Medicaid 196834
CA Medicaid 197464
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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