ST. JOHNS COMMUNITY HEALTH NPI 1174225429

NPI Information

  • NPI: 1174225429
  • Provider Name: ST. JOHNS COMMUNITY HEALTH
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 1741 E 120TH ST FL 2
    LOS ANGELES, CA
    ZIP 90059
  • Phone: (323) 541-1600

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NPI Details

ST. JOHNS COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. ST. JOHNS COMMUNITY HEALTH NPI is 1174225429. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1741 E 120TH ST FL 2
LOS ANGELES, CA
ZIP 90059-051
Phone: (323) 541-1600
Fax: (323) 541-1683

The provider's authorized official is Maria Socorro Genie .
The authorized official title is Executive Project Director and has the following contact phone number (323) 541-1600.

The enumeration date for this NPI number is 3/20/2023 and was last updated on 2/13/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2171W00000XContractorNo
3261QC1500XClinic/CenterCommunity HealthNo
4261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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: 3/30/2025

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