# SUNKWA COMMUNITY FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LifeLine community Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467873265
- **Authorized official:** DONWILLIAM YEBOAH CNA (OWNER/OPERATOR)
- **Authorized official phone:** (323) 476-1316

## Contact information

- **Practice address:** 11905 S CENTRAL AVE, SUITE 100, LOS ANGELES, CA 90059-2897
- **Practice address phone:** (323) 476-1316
- **Practice address fax:** (323) 476-1317
- **Mailing address:** 11905 S CENTRAL AVE, SUITE 100, LOS ANGELES, CA 90059-2897
- **Mailing address phone:** (323) 476-1316
- **Mailing address fax:** (323) 476-1317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A82463 | CA | Yes |

## Other

- **Enumeration date:** 12/20/2013
- **Last updated:** 12/20/2013