Organization · Type 2 NPI

Good Neighbor Clinic Foundation

Geriatric Medicine (Family Medicine) Physician · Los Angeles, CA

NPI number 1043162076 Active

Practice location

4300 Crenshaw Blvd
Los Angeles, CA 90008-4902

Fax (323) 298-0458

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Pastoral Counselor 101YP1600XNone listed
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Nutritionist 133N00000XNone listed
Technician/Technologist 156F00000XNone listed
Case Management Registered Nurse 163WC0400XNone listed
Health & Wellness Coach 171400000XNone listed
Meals Provider 174200000XNone listed
Geriatric Medicine (Family Medicine) Physician Primary 207QG0300XNone listed
Psychiatry Physician 2084P0800XNone listed
Primary Podiatric Medicine Podiatrist 213EP1101XNone listed

Geriatric Medicine (Family Medicine) Physician: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

6 other providers at this address

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About NPI 1043162076

Good Neighbor Clinic Foundation's National Provider Identifier is 1043162076, issued on Feb 11, 2026. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 11, 2026.