Organization
NORTHEAST COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER TAK LAU MD (EXECUTIVE DIRECTOR)
(626) 457-6900
Entity
Organization
Contact information
Practice address
1414 S GRAND AVE STE 300, LOS ANGELES, CA 90015-3072
(213) 222-1300
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
10/22/2019
Last updated
10/15/2021
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