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BIENVENIDOS HEALTHY START COMMUNITY CLINIC AT WILSON HIGH SCHOOL NPI 1629416250


NPI Information

NPI: 1629416250
Provider Name: BIENVENIDOS HEALTHY START COMMUNITY CLINIC AT WILSON HIGH SCHOOL
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
4500 MULTNOMAH ST
LOS ANGELES, CA
ZIP 90032
Phone: (323) 222-0970
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BIENVENIDOS HEALTHY START COMMUNITY CLINIC AT WILSON HIGH SCHOOL is a community health clinic center in Los Angeles, CA. BIENVENIDOS HEALTHY START COMMUNITY CLINIC AT WILSON HIGH SCHOOL NPI is 1629416250. The provider is registered as an organization entity type.

The provider's business location address is:

4500 MULTNOMAH ST
LOS ANGELES, CA
ZIP 90032-703
Phone: (323) 222-0970
Fax: (323) 222-0878

The provider's authorized official is Jacobus Van Der Colff .
The authorized official title is Chief Financial Officer and has the following contact phone number (213) 785-5923.

The enumeration date for this NPI number is 6/5/2013 and was last updated on 6/6/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QC1500XClinic/CenterCommunity Health960001182CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
105D2050805OTHERCALIFORNIACLIA
200343513OTHERCALIFORNIACLR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.