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Organization

THE LOS ANGELES FREE CLINIC - MOBILE CLINIC

Active
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Organization

THE LOS ANGELES FREE CLINIC - MOBILE CLINIC

Active
Other names
Saban Community Clinic - Mobile Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MURIEL NOUWEZEM (CEO)
(323) 337-1707
Entity
Organization

Contact information

Practice address
6043 HOLLYWOOD BLVD, LOS ANGELES, CA 90028-5411
(323) 653-1990
Mailing address
8405 BEVERLY BLVD, LOS ANGELES, CA 90048-3401
(323) 653-1990

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
04/06/2022
Last updated
07/28/2022
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