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THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES' NPI 1942345939


NPI Information

NPI: 1942345939
Provider Name: THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES'

Doing Business As: TCC AT THE LB MULTI-SERVICE CENTER FOR THE HOMELESS

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1301 W 12TH ST
LONG BEACH, CA
ZIP 90813
Phone: (562) 264-4695
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THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES' is a federally qualified health center (fqhc) clinic center in Long Beach, CA. THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES' NPI is 1942345939. The provider is registered as an organization entity type.
The provider Is Doing Business As Tcc At The Lb Multi-service Center For The Homeless.

The provider's business location address is:

1301 W 12TH ST
LONG BEACH, CA
ZIP 90813-720
Phone: (562) 264-4695
Fax: (562) 264-4273

The provider's authorized official is Jina L. Lawler .
The authorized official title is Chief Operations Officer and has the following contact phone number (562) 264-3985.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 5/2/2023.


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 Health960000104CALIFORNIANo
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1FHC11466FMEDICAIDCALIFORNIA

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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