Organization · Type 2 NPI

Northeast Community Clinic

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

NPI number 1891200325 Active

Practice location

1414 S Grand Ave Ste 380
Los Angeles, CA 90015-3072

Call (213) 222-1300 Map

Fax (213) 222-1333

Mailing address

2550 W Main St Ste 301
Alhambra, CA 91801-7003

Specialties and licenses

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

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

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About NPI 1891200325

Northeast Community Clinic's National Provider Identifier is 1891200325, issued on Dec 6, 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 Oct 15, 2021.