THE LOS ANGELES FREE CLINIC - MOBILE CLINIC NPI 1114668647

NPI Information

THE LOS ANGELES FREE CLINIC - MOBILE CLINIC is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. THE LOS ANGELES FREE CLINIC - MOBILE CLINIC NPI is 1114668647. The provider is registered as an organization entity type.
The provider Is Doing Business As Saban Community Clinic - Mobile Clinic.

The provider's business location address is:

6043 HOLLYWOOD BLVD
LOS ANGELES, CA
ZIP 90028-411
Phone: (323) 653-1990

The provider's authorized official is Muriel Nouwezem .
The authorized official title is Ceo and has the following contact phone number (323) 337-1707.

The enumeration date for this NPI number is 4/6/2022 and was last updated on 7/28/2022.

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:

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