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Organization

ST. JOHNS COMMUNITY HEALTH

Active
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Organization

ST. JOHNS COMMUNITY HEALTH

Active
Other names
St. John's Well Child and Family Center, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES M MANGIA (PRESIDENT & CEO)
(323) 541-1600
Entity
Organization

Contact information

Practice address
15715 S ATLANTIC AVE FL 2, COMPTON, CA 90221-4242
(323) 541-1400
(323) 541-1401
Mailing address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1600
(323) 541-1601

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
NULL
171W00000X
Contractor
—
—
251B00000X
Case Management Agency
—
NULL
251X00000X
Supports Brokerage Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
550001660
CA

Other

Enumeration date
02/01/2010
Last updated
06/02/2025
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