Organization · Type 2 NPI

The Los Angeles Free Clinic - Mobile Clinic

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

NPI number 1114668647 Active

Practice location

6043 Hollywood Blvd
Los Angeles, CA 90028-5411

Call (323) 653-1990 Map

Mailing address

8405 Beverly Blvd
Los Angeles, CA 90048-3401

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1114668647

The Los Angeles Free Clinic - Mobile Clinic's National Provider Identifier is 1114668647, issued on Apr 6, 2022. 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 Jul 28, 2022.