Organization · Type 2 NPI

Northeast Community Clinic

Federally Qualified Health Center (FQHC) · Hawthorne, CA

NPI number 1962050120 Active

Practice location

4455 W 117th St Ste 200
Hawthorne, CA 90250-2240

Call (310) 219-2000 Map

Fax (310) 219-2001

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...

13 other providers at this address

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About NPI 1962050120

Northeast Community Clinic's National Provider Identifier is 1962050120, issued on Aug 30, 2019. 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.