Organization · Type 2 NPI

St. Johns Community Health

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

NPI number 1396981700 Active

Practice location

4085 South Vermont Ave
Los Angeles, CA 90037-4045

Call (323) 541-1600 Map

Fax (323) 541-1661

Mailing address

808 W. 58th Street
Los Angeles, CA 90037-4045

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 261QC1500X550000088 (CA)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1396981700

St. Johns Community Health's National Provider Identifier is 1396981700, issued on Jan 7, 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.