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Benevolence Industries Incorporated
Federally Qualified Health Center (FQHC) in Los Angeles, California
NPI 1376761940

Benevolence Industries Incorporated is a Federally Qualified Health Center (FQHC) based in Los Angeles, CA and is specialized in Federally Qualified Health Center (FQHC). Benevolence Industries Incorporated practices in Los Angeles, CA. The NPI Number for Benevolence Industries Incorporated is 1376761940 and holds a License No. (California).

The current practice location address for Benevolence Industries Incorporated is 3533 W. Pico Boulevard, Los Angeles, CA and can be reached out via phone at 323-734-1600 and via fax at 323-734-1666.

Location: 3533 W. Pico Boulevard, Los Angeles, CA, 90019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376761940
Provider Name
Benevolence Industries Incorporated
Credential
Provider Entity Type
Organization
Address
3533 W. Pico Boulevard, Los Angeles, CA, 90019
Phone Number
323-734-1600
Fax Number
323-734-1666
Provider Enumeration Date
04/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376761940 05 CA
institution
Provider Business Practice Location Address Details
Address
3533 W. Pico Boulevard
City
Los Angeles
State
California
Zip
90019
Phone Number
323-734-1600
Fax Number
323-734-1666
person
Provider Business Mailing Address Details
Address
3533 W. Pico Boulevard
City
Los Angeles
State
California
Zip
90019
Phone Number
323-734-1600
Fax Number
323-734-1666
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
550001067 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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