# COMPASSION FOR TEEN LIFE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Family Care Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215342803
- **Authorized official:** MRS. LORNA MAE JOHNSON MSN, NP, CNM (ADMINISTRATOR)
- **Authorized official phone:** (323) 588-0084

## Contact information

- **Practice address:** 1201 E FLORENCE AVE, LOS ANGELES, CA 90001-2432
- **Practice address phone:** (323) 588-0084
- **Mailing address:** 1201 E FLORENCE AVE, LOS ANGELES, CA 90001-2432
- **Mailing address phone:** (323) 588-0084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/23/2014
- **Last updated:** 06/23/2014
