# ST. JOHNS COMMUNITY HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. John's Well Child and Family Center, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417469495
- **Authorized official:** JAMES MANGIA (PRESIDENT & CEO)
- **Authorized official phone:** (323) 541-1601

## Contact information

- **Practice address:** 4251 CRENSHAW BLVD, LOS ANGELES, CA 90008-2536
- **Practice address phone:** (323) 541-1600
- **Practice address fax:** (323) 541-1661
- **Mailing address:** 808 W 58TH ST, LOS ANGELES, CA 90037-3632
- **Mailing address phone:** (323) 541-1600
- **Mailing address fax:** (323) 541-1661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2017
- **Last updated:** 11/09/2023