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THE LOS ANGELES FREE CLINIC NPI 1235271065


NPI Information

NPI: 1235271065
Provider Name: THE LOS ANGELES FREE CLINIC

Doing Business As: SABAN COMMUNITY CLINIC

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
6043 HOLLYWOOD BLVD
LOS ANGELES, CA
ZIP 90028
Phone: (323) 653-8622
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THE LOS ANGELES FREE CLINIC is a community health 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 Jeffrey Bujer .
The authorized official title is Co-ceo and has the following contact phone number (323) 653-8622.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC1500XClinic/CenterCommunity Health960000818CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERCALIFORNIAPPP
2HAP70654FMEDICAIDCALIFORNIA
3BCP70701FMEDICAIDCALIFORNIA
4HAP70701FMEDICAIDCALIFORNIA
5=========BOTHERCALIFORNIAPPP-HWHC
6=========AOTHERCALIFORNIAPPP-HMED
7FHC70701FMEDICAIDCALIFORNIA
8BCP70654FMEDICAIDCALIFORNIA
9CMM70945FMEDICAIDCALIFORNIA
10EAP00005FMEDICAIDCALIFORNIA
11FHC70654FMEDICAIDCALIFORNIA

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: 4/28/2024

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