Organization · Type 2 NPI

Livingstone Community Development Corporation

Federally Qualified Health Center (FQHC) · Stanton, CA

NPI number 1952662686 Active

Practice location

12362 Beach Blvd Ste 10
Stanton, CA 90680-3944

Fax (714) 622-4943

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center	261QC1500X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

12 other providers at this address

Other federally qualified health center (fqhc) providers in Stanton

Central City Community Health Center IncFederally Qualified Health Center (FQHC) Stanton, CA NPI 1174757967

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NPI record

NPI: 1952662686
Entity type: Organization (Type 2)
Issued: May 29, 2012
Last updated: Jun 20, 2020
Status: Active

Other names

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Livingstone Community Health Clinic · doing business as
Livingstone Community Health Clinic · doing business as

Authorized official

Dr. Kyung I. Park, MD
CEO
(714) 248-9500

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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 1952662686

Livingstone Community Development Corporation's National Provider Identifier is 1952662686, issued on May 29, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Stanton, CA. The record was last updated on Jun 20, 2020.