Provider Demographics
NPI:1518197508
Name:LOS ALAMITOS CENTER, INC
Entity Type:Organization
Organization Name:LOS ALAMITOS CENTER, INC
Other - Org Name:THE HEALTH CARE CENTER ON GOLDEN RAIN ROAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:FURLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-795-6278
Mailing Address - Street 1:PO BOX 2685
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-1685
Mailing Address - Country:US
Mailing Address - Phone:562-493-9581
Mailing Address - Fax:562-795-6350
Practice Address - Street 1:1661 GOLDEN RAIN RD
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-4907
Practice Address - Country:US
Practice Address - Phone:562-493-9581
Practice Address - Fax:562-795-6350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care