Organization
3C COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAESUNG KIM (CEO)
(213) 322-2666
Entity
Organization
Contact information
Practice address
3030 W OLYMPIC BLVD STE 206, LOS ANGELES, CA 90006-6506
(310) 658-4494
Mailing address
3030 W OLYMPIC BLVD STE 206, LOS ANGELES, CA 90006-6506
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
05/12/2023
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