ST. JOHNS COMMUNITY HEALTH NPI 1700513660

NPI Information

NPI: 1700513660
Provider Name: ST. JOHNS COMMUNITY HEALTH

Former Legal Business Name: ST. JOHN'S WELL CHILD AND FAMILY CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1321 E. 1ST STREET
LOS ANGELES, CA
ZIP 90033
Phone: (323) 541-1600
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ST. JOHNS COMMUNITY HEALTH is a federally qualified health center (fqhc) clinic center in Los Angeles, CA. ST. JOHNS COMMUNITY HEALTH NPI is 1700513660. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is St. John's Well Child And Family Center.

The provider's business location address is:

1321 E. 1ST STREET
LOS ANGELES, CA
ZIP 90033-003
Phone: (323) 541-1600
Fax: (323) 541-1661

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

The enumeration date for this NPI number is 8/2/2022 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
1	261QC1500X	Clinic/Center	Community Health			No
2	261QF0400X	Clinic/Center	Federally 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: 5/5/2024

NPI Synchronization or Removal

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