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Organization
ST. JOHNS COMMUNITY HEALTH
Active
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 MANGIA (PRESIDENT & CEO)
(323) 541-1601
Entity
Organization
Contact information
Practice address
4251 CRENSHAW BLVD, LOS ANGELES, CA 90008-2536
(323) 541-1600
(323) 541-1661
Mailing address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1600
(323) 541-1661
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
—
NULL
Other
Enumeration date
10/30/2017
Last updated
11/09/2023
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