Organization
THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES'
Active
Other names
The Vasek Polak Children's Clinic Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JINA L. LAWLER MSW (CHIEF OPERATIONS OFFICER)
(562) 264-3985
Entity
Organization
Contact information
Practice address
1057 PINE AVE, LONG BEACH, CA 90813-3118
(562) 264-4668
(562) 366-5920
Mailing address
701 E 28TH ST, SUITE 200, LONG BEACH, CA 90806-2759
(562) 264-3985
(562) 216-6197
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
960001379
CA
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70992F
—
CA
Enumeration date
12/20/2006
Last updated
06/12/2023
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