Organization · Type 2 NPI

Kedren Community Care Clinic - Amity

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

NPI number 1407378458 Active

Practice location

3745 S Grand Ave
Los Angeles, CA 90007-4332

Call (323) 233-0425 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

5 other providers at this address

V-Solutions Consulting, LLCMental Health Clinic/Center (Including Community Mental Health Center) Los Angeles, CA NPI 1407437627
Gabriela HernandezStudent in an Organized Health Care Education/Training Program Los Angeles, CA NPI 1134058472
Juan Perez Tapia, AODAddiction (Substance Use Disorder) Counselor Los Angeles, CA NPI 1285261685
Morgan Troiano, OTR/LOccupational Therapist Los Angeles, CA NPI 1013653070
Sade Marie MorelandAddiction (Substance Use Disorder) Counselor Los Angeles, CA NPI 1184891251

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NPI record

NPI: 1407378458
Entity type: Organization (Type 2)
Issued: Jul 12, 2017
Last updated: Apr 10, 2026
Status: Active
Subpart: Yes of Kedren Community Health Center, Inc.

Other names

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Kedren Community Care Clinic - Amity · other name

Authorized official

Leticia Perez
Office Manager
(323) 232-2384

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407378458

Kedren Community Care Clinic - Amity's National Provider Identifier is 1407378458, issued on Jul 12, 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.