Organization
NORTHEAST COMMUNITY CLINIC
Active
Parent organization
NORTHEAST COMMUNITY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST COMMUNITY CLINIC
Authorized official
CHRISTOPHER TAK LAU MD (EXECUTIVE DIRECTOR)
(626) 457-6900
Entity
Organization
Contact information
Practice address
4129 GAGE AVE, BELL, CA 90201-1128
(323) 771-8400
(323) 771-8750
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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
10/15/2021
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