Organization · Type 2 NPI

St. Johns Community Health

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

NPI number 1972845113 Active

Practice location

1555 West 110th Street
Los Angeles, CA 90047

Call (323) 541-1600 Map

Fax (323) 541-1661

Mailing address

808 W 58th St
Los Angeles, CA 90037-3632

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Contractor 171W00000XNone listed
Case Management Agency 251B00000XNone listed
Supports Brokerage Agency 251X00000XNone listed
Community Health Clinic/Center 261QC1500XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1972845113

St. Johns Community Health's National Provider Identifier is 1972845113, issued on Mar 26, 2013. 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 Feb 13, 2024.