NPI:
1548764392
Provider Name:
ST. JOHNS COMMUNITY HEALTH
Former Legal Business Name: ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC.
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
1000 W. 50TH ST
LOS ANGELES, CA
ZIP 90037
Phone:
(323) 541-1411
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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 1548764392. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is St. John's Well Child And Family Center, Inc..
The provider's business location address is:
1000 W. 50TH ST
LOS ANGELES, CA
ZIP 90037
Phone: (323) 541-1411
Fax: (323) 541-1661
The provider's authorized official is Maria Socorro Genie .
The authorized official title is Executive Project Director and has the following contact phone number (323) 541-1600.
The enumeration date for this NPI number is 3/19/2018 and was last updated on 2/13/2024.