Organization
CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NUSRATH FATIMA JAHANGIR (COO)
(323) 234-5000
Entity
Organization
Contact information
Practice address
2614 S GRAND AVE, LOS ANGELES, CA 90007-2607
(323) 234-5000
(323) 234-3900
Mailing address
2614 S. GRAND AVE, LOS ANGELES, CA 90007
(323) 234-5000
(323) 234-3900
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639336803
—
CA
Enumeration date
08/07/2013
Last updated
04/01/2022
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