Organization · Type 2 NPI

St. Johns Community Health

Community Health Clinic/Center · Los Angeles, CA

NPI number 1417469495 Active

Practice location

4251 Crenshaw Blvd
Los Angeles, CA 90008-2536

Fax (323) 541-1661

Mailing address

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

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 Primary 261QC1500XNone listed

Community Health Clinic/Center: Definition to come...

3 other providers at this address

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About NPI 1417469495

St. Johns Community Health's National Provider Identifier is 1417469495, issued on Oct 30, 2017. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 9, 2023.