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Organization
THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES'
Active
Organization
THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES'
Active
Other names
S. Mark Taper Foundation Children's Clinic Family Health Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
JINA L. LAWLER MSW (CHIEF OPERATIONS OFFICER)
(562) 264-3985
Entity
Organization
Contact information
Practice address
455 E COLUMBIA ST, SUITE 201, LONG BEACH, CA 90806-1620
(562) 933-0412
(562) 933-0487
Mailing address
701 E 28TH ST, SUITE 200, LONG BEACH, CA 90806-2759
(562) 264-3985
(562) 216-6197
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
960000104
CA
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
Other
Enumeration date
12/20/2006
Last updated
05/02/2023
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