Organization · Type 2 NPI

St. Johns Community Health

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

NPI number 1285874826 Active

Practice location

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

Fax (323) 541-1401

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 261QC1500X550001120 (CA)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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About NPI 1285874826

St. Johns Community Health's National Provider Identifier is 1285874826, issued on Feb 23, 2009. 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 13, 2024.