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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