Organization
BEVERLY COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BURNS MD (CHIEF MEDICAL OFFICER)
(213) 674-7424
Entity
Organization
Contact information
Practice address
2252 BEVERLY BLVD STE 103, LOS ANGELES, CA 90057-2246
(213) 674-7424
Mailing address
2252 BEVERLY BLVD STE 103, LOS ANGELES, CA 90057-2246
(213) 674-7424
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/11/2018
Last updated
03/19/2024
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