Queenscare Family Clinics - Mobile Dental Van 1 - Health Care Facilities in California

Health Care Facilities in California

Here you can find all the California healthcare facilities that are operational and have a current license issued by the California Department of Public Health and/or a current U.S. Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) certification. (Source: Center for Health Care Quality, California Department of Public Health. 2018. HealthcareFacilities-California_2018-09-05-CA-CDPH).

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Queenscare Family Clinics - Mobile Dental Van 1 - Health Care Facilities in California

Facility Administrator's Fax Number	(323) 953-3658
Facility Administrator's Phone Number	(323) 953-7170
County	LOS ANGELES
District Office That Oversees The Facility	LA ICF/DD/CLINICS
License Number	550001649
Business Name	QUEENSCARE HEALTH CENTERS
Initial License Date	15-Aug-11
License Effective Date	15-Nov-18
License Expiration Date	14-Nov-19
Entity Type	NONPROFIT CORP
Street Number	4618
Street Name	FOUNTAIN AVENUE
Local Health Jurisdiction Name	LOS ANGELES
Fips County Code	037
Facility Identification #	630013131
Health Care Facility Name	QUEENSCARE FAMILY CLINICS - MOBILE DENTAL VAN 1
Facility Type	PRIMARY CARE CLINIC
Address	4618 FOUNTAIN AVENUE
City	LOS ANGELES
Zip	90029
Zip9	1830
Facility Administrator	ROTHFELD, ALAN
Facility Administrator's E-Mail	DGODBOUT@QUEENSCARE.ORG