Provider Demographics
NPI:1316282338
Name:PUBLIC CARE FOUNDATION, INC.
Entity type:Organization
Organization Name:PUBLIC CARE FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:626-579-3868
Mailing Address - Street 1:9251 GARVEY AVE
Mailing Address - Street 2:SUITE M
Mailing Address - City:SOUTH EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-4609
Mailing Address - Country:US
Mailing Address - Phone:626-579-3868
Mailing Address - Fax:626-329-4880
Practice Address - Street 1:9251 GARVEY AVE
Practice Address - Street 2:SUITE M
Practice Address - City:SOUTH EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-4609
Practice Address - Country:US
Practice Address - Phone:626-579-3868
Practice Address - Fax:626-329-4880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-02
Last Update Date:2012-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A6736261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service