Organization · Type 2 NPI

Northeast Community Clinic

Federally Qualified Health Center (FQHC) · Hawthorne, CA

NPI number 1891028171 Active

Practice location

4455 W 117th St Ste 300
Hawthorne, CA 90250-2240

Fax (310) 978-0599

Mailing address

2550 W Main St, Suite 301
Alhambra, CA 91801-1694

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

12 other providers at this address

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About NPI 1891028171

Northeast Community Clinic's National Provider Identifier is 1891028171, issued on Sep 17, 2009. 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.