# THE CHILDREN'S CLINIC, SERVING CHILDREN AND THEIR FAMILIES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639334303
- **Authorized official:** DR. ELISA NICHOLAS M.D (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (562) 933-0432

## Contact information

- **Practice address:** 455 E COLUMBIA ST STE 201&6, LONG BEACH, CA 90806-1620
- **Practice address phone:** (562) 933-0400
- **Mailing address:** 455 E COLUMBIA ST STE 201&6, LONG BEACH, CA 90806-1620
- **Mailing address phone:** (562) 933-0400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 960000104 | CA | Yes |

## Other

- **Enumeration date:** 07/22/2008
- **Last updated:** 07/22/2008