Organization
THE LOS ANGELES FREE CLINIC
Active
Other names
Saban Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MURIEL NOUWEZEM (CEO)
(323) 337-1707
Entity
Organization
Contact information
Practice address
6043 HOLLYWOOD BLVD, LOS ANGELES, CA 90028-5411
(323) 653-8622
Mailing address
6043 HOLLYWOOD BLVD, LOS ANGELES, CA 90028-5411
(323) 653-8622
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
960000818
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BCP70654F
—
CA
05
—
BCP70701F
—
CA
05
—
CMM70945F
—
CA
05
—
EAP00005F
—
CA
05
—
FHC70654F
—
CA
05
—
FHC70701F
—
CA
05
—
HAP70654F
—
CA
05
—
HAP70701F
—
CA
Enumeration date
02/12/2007
Last updated
08/30/2024
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