NPI:
1598002628
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:
808 W 58TH ST
LOS ANGELES, CA
ZIP 90037
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 1598002628. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is St. John's Well Child And Family Center, Inc..
The provider's business location address is:
808 W 58TH ST
LOS ANGELES, CA
ZIP 90037-632
Phone: (323) 541-1600
Fax: (323) 541-1661
The provider's authorized official is James J Mangia .
The authorized official title is President & Ceo and has the following contact phone number (323) 541-1600.
The enumeration date for this NPI number is 1/9/2013 and was last updated on 2/13/2024.