Organization
THE CHILDREN'S CLINIC, SERVING CHILDREN AND THEIR FAMILIES
Active
Other names
TCC Family Health, Healthy Aging at St. Mary, TCC Family Health, Healthy Aging at St. Mary
Organization subpart
No
Provider details
NPI number
Authorized official
LOU LEVASA (OPERATIONS & LICENSING SPECIALIST)
(562) 264-3114
Entity
Organization
Contact information
Practice address
1045 ATLANTIC AVE STE 103, LONG BEACH, CA 90813-3414
(562) 264-3114
(562) 216-6179
Mailing address
701 E 28TH ST STE 200, LONG BEACH, CA 90806-2784
(562) 264-3114
(562) 216-6197
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/09/2025
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