# BIENVENIDOS HEALTHY START COMMUNITY CLINIC AT WILSON HIGH SCHOOL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BIENVENIDOS CHILDREN'S CENTER, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629416250
- **Legal business name:** BIENVENIDOS CHILDREN'S CENTER, INC.
- **Authorized official:** JACOBUS VAN DER COLFF (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (213) 785-5923

## Contact information

- **Practice address:** 4500 MULTNOMAH ST, LOS ANGELES, CA 90032-3703
- **Practice address phone:** (323) 222-0970
- **Practice address fax:** (323) 222-0878
- **Mailing address:** 316 W 2ND ST, SUITE 800, LOS ANGELES, CA 90012-3504
- **Mailing address phone:** (213) 785-5906
- **Mailing address fax:** (213) 785-5914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 960001182 | CA | Yes |

## Other

- **Enumeration date:** 06/05/2013
- **Last updated:** 06/06/2013