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KEDREN COMMUNITY HEALTH CENTER INC. NPI 1417378597


NPI Information

NPI: 1417378597
Provider Name: KEDREN COMMUNITY HEALTH CENTER, INC.

Doing Business As: KEDREN COMMUNITY CARE CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
4211 AVALON BLVD
BUILDING A
LOS ANGELES, CA
ZIP 90011
Phone: (323) 233-0425
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KEDREN COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. KEDREN COMMUNITY HEALTH CENTER, INC. NPI is 1417378597. The provider is registered as an organization entity type.
The provider Is Doing Business As Kedren Community Care Clinic.

The provider's business location address is:

4211 AVALON BLVD
BUILDING A
LOS ANGELES, CA
ZIP 90011-622
Phone: (323) 233-0425
Fax: (323) 432-5186

The provider's authorized official is Earle Charles .
The authorized official title is Chief Information Officer and has the following contact phone number (323) 432-5093.

The enumeration date for this NPI number is 12/17/2013 and was last updated on 10/2/2018.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)550002516CALIFORNIAYes

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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