Prime Wellness Community Health Center
Clinic/Center (Community Health)

Address: 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012
Phone: 3235528899

Prime Wellness Community Health Center (NPI# 1083251532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1083251532
Entity Type Organization
Organization Name PRIME WELLNESS COMMUNITY HEALTH CENTER
Practice Address 1824 1/2 W 38th Pl
Los Angeles
CA 90062-1012
Practice Telephone 3235528899
Mailing Address 1824 1/2 W 38th Pl
Los Angeles
CA 90062-1012
Authorized Official Name Denys Slesarenko (CEO)
Authorized Official Telephone 3235528899
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-12-03
Last Update Date 2019-12-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QC1500X Clinic/Center · Community Health Ambulatory Health Care Facilities

Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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Office Location

Street Address 1824 1/2 W 38TH PL
City LOS ANGELES
State CA
Zip Code 90062-1012

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386298867 Prompt Healthcare, Inc., A Medical Corporation Family Medicine 1972 West 48th Street, #a, Los Angeles, CA 90062 2019-08-01
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1457863706 The Dream Catcher Foundation, Inc. Residential Treatment Facility, Emotionally Disturbed Children 1537 W 49th St, Los Angeles, CA 90062 2017-10-26
1639680259 The Dream Catcher Foundation, Inc. Residential Treatment Facility, Emotionally Disturbed Children 1762 W 42nd St, Los Angeles, CA 90062 2017-10-23
1033535794 Trusana Monique Hall Licensed Vocational Nurse 4103 S. Halldale Ave, Los Angeles, CA 90062 2014-03-05
1093139644 Daniel Garcia Rehabilitation Practitioner 3381 Western Ave., Los Angeles, CA 90062 2014-02-18
1689003790 Crystal Vernon Case Manager/Care Coordinator 3881 S. Western Avenue, Los Angeles, CA 90062 2013-11-08
1184902934 Gerry Lynn Lockhart Case Manager/Care Coordinator 3881 S Western Avenue, Los Angeles, CA 90062 2011-07-28
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Competitor

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City LOS ANGELES
Zip Code 90062

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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