THE LOS ANGELES FREE CLINIC NPI 1235271065

NPI Information

  • NPI: 1235271065
  • Provider Name: THE LOS ANGELES FREE CLINIC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: SABAN COMMUNITY CLINIC
  • Address: 6043 HOLLYWOOD BLVD
    LOS ANGELES, CA
    ZIP 90028
  • Phone: (323) 653-8622

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NPI Details

THE LOS ANGELES FREE CLINIC is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. THE LOS ANGELES FREE CLINIC NPI is 1235271065. The provider is registered as an organization entity type.
The provider Is Doing Business As Saban Community Clinic.

The provider's business location address is:

6043 HOLLYWOOD BLVD
LOS ANGELES, CA
ZIP 90028-411
Phone: (323) 653-8622

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 2/12/2007 and was last updated on 8/30/2024.

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
1261QC1500XClinic/CenterCommunity Health960000818CALIFORNIANo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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
1BCP70654FMEDICAIDCALIFORNIA
2BCP70701FMEDICAIDCALIFORNIA
3HAP70701FMEDICAIDCALIFORNIA
4FHC70654FMEDICAIDCALIFORNIA
5EAP00005FMEDICAIDCALIFORNIA
6HAP70654FMEDICAIDCALIFORNIA
7CMM70945FMEDICAIDCALIFORNIA
8FHC70701FMEDICAIDCALIFORNIA

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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