Organization · Type 2 NPI
St. Johns Community Health
Community Health Clinic/Center · Los Angeles, CA
NPI number
1629491089
Active
Practice location
1555 West 110th St
Los Angeles, CA 90047-1220
Fax (323) 541-1661
Mailing address
808 W 58th St
Los Angeles, CA 90037-3632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Contractor | 171W00000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Supports Brokerage Agency | 251X00000X | None listed |
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
Community Health Clinic/Center: Definition to come...
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About NPI 1629491089
St. Johns Community Health's National Provider Identifier is 1629491089, issued on Jan 21, 2014. 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 14, 2023.