Organization
ST. JOHNS COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA SOCORRO GENIE (CHIEF ADMINISTRATIVE OFFICER)
(323) 944-3370
Entity
Organization
Contact information
Practice address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1600
Mailing address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1600
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
05/22/2024
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