BEVERLY COMMUNITY CLINIC NPI 1144791500

NPI Information

BEVERLY COMMUNITY CLINIC is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. BEVERLY COMMUNITY CLINIC NPI is 1144791500. The provider is registered as an organization entity type.

The provider's business location address is:

2252 BEVERLY BLVD STE 103
LOS ANGELES, CA
ZIP 90057-246
Phone: (213) 674-7424

The provider's authorized official is John Burns .
The authorized official title is Chief Medical Officer and has the following contact phone number (213) 674-7424.

The CLIA number assigned to this NPI record is 05D2151800 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2018 and was last updated on 3/19/2024.

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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