Organization · Type 2 NPI

Kedren Community Care Clinic - B

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

NPI number 1295257913 Active

Practice location

4211 Avalon Blvd Ste B
Los Angeles, CA 90011-5622

Call (323) 232-2384 Map

Fax (323) 232-2384

Mailing address

4211 Avalon Blvd, Hr Department
Los Angeles, CA 90011-5622

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 1295257913

Kedren Community Care Clinic - B's National Provider Identifier is 1295257913, issued on Jul 14, 2017. 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 Apr 10, 2026.