Organization
NORTHEAST COMMUNITY CLINIC
Active
Other names
NECC - Gage Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER LAU (EXECUTIVE DIRECTOR)
(626) 457-6900
Entity
Organization
Contact information
Practice address
2975 ZOE AVE, HUNTINGTON PARK, CA 90255
(323) 771-8400
(323) 582-8500
Mailing address
2550 W MAIN ST STE 301, ALHAMBRA, CA 91801-7003
(626) 457-6900
(626) 457-5022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/17/2013
Last updated
06/12/2023
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