NPI: 1013057371
Provider Name: ST. JOHNS COMMUNITY HEALTH
Former Legal Business Name: ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
5701 S HOOVER ST
LOS ANGELES, CA
ZIP 90037
Phone: (323) 541-1400
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ST. JOHNS COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. ST. JOHNS COMMUNITY HEALTH NPI is 1013057371. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is St. John's Well Child And Family Center, Inc..
The provider's business location address is:
5701 S HOOVER ST
LOS ANGELES, CA
ZIP 90037-045
Phone: (323) 541-1400
Fax: (323) 541-1401
The provider's authorized official is James J Mangia .
The authorized official title is Chief Executive Officer and has the following contact phone number (323) 541-1660.
The enumeration date for this NPI number is 2/7/2007 and was last updated on 2/12/2024.