Organization · Type 2 NPI

St. Johns Community Health

Federally Qualified Health Center (FQHC) · Los Angeles, CA

NPI number 1073653630 Active

Practice location

1910 Magnolia Ave
Los Angeles, CA 90007-1220

Call (213) 749-0947 Map

Fax (213) 749-7354

Mailing address

808 W 58th St
Los Angeles, CA 90037-3632

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Contractor 171W00000XNone listed
Case Management Agency 251B00000XNone listed
Supports Brokerage Agency 251X00000XNone listed
Community Health Clinic/Center 261QC1500X960000214 (CA)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1073653630

St. Johns Community Health's National Provider Identifier is 1073653630, issued on Feb 6, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 12, 2024.