Provider Demographics
NPI:1104367572
Name:CENTER FOR FAMILY HEALTH & EDUCATION INC
Entity Type:Organization
Organization Name:CENTER FOR FAMILY HEALTH & EDUCATION INC
Other - Org Name:PRIORITY CARE MEDICAL GROUP EL MONTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DARYOUSH
Authorized Official - Middle Name:
Authorized Official - Last Name:KASHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-899-5555
Mailing Address - Street 1:6609 VAN NUYS BLVD STE 201-A
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4618
Mailing Address - Country:US
Mailing Address - Phone:818-812-5410
Mailing Address - Fax:818-812-5410
Practice Address - Street 1:3229 SANTA ANITA AVE FL 1
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-1359
Practice Address - Country:US
Practice Address - Phone:626-575-4584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-17
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
CA550002136261QF0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center