# ST. JOHN'S WELL CHILD AND FAMILY CENTER INC

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

## Provider details

- **NPI number:** 1730624719
- **Authorized official:** DR. BRANDON DOAN PHARM.D. (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (323) 541-1600

## Contact information

- **Practice address:** 326 W 23RD ST, LOS ANGELES, CA 90007-2612
- **Practice address phone:** (323) 541-1600
- **Practice address fax:** (323) 924-9098
- **Mailing address:** 808 W 58TH ST, LOS ANGELES, CA 90037-3632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 2724 | CA | Yes |

## Other

- **Enumeration date:** 12/29/2016
- **Last updated:** 12/29/2016