Organization · Type 2 NPI

Northeast Community Clinic

Federally Qualified Health Center (FQHC) · Hawthorne, CA

NPI number 1336790914 Active

Practice location

4455 W 117th St Ste 502
Hawthorne, CA 90250-2261

Call (424) 236-4800 Map

Fax (424) 236-4801

Mailing address

2550 W Main St Ste 301
Alhambra, CA 91801-7003

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 1336790914

Northeast Community Clinic's National Provider Identifier is 1336790914, issued on Sep 24, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Hawthorne, CA. The record was last updated on Oct 15, 2021.