Provider Demographics
NPI:1053538637
Name:CITY HELP, INC
Entity type:Organization
Organization Name:CITY HELP, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ELISEO
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:OVANDO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:213-273-7277
Mailing Address - Street 1:2301 BELLEVUE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-4017
Mailing Address - Country:US
Mailing Address - Phone:213-273-7060
Mailing Address - Fax:213-273-7277
Practice Address - Street 1:2301 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-4017
Practice Address - Country:US
Practice Address - Phone:213-273-7060
Practice Address - Fax:213-273-7277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACMM70887FMedicaid