Organization
THE CHILDREN'S CLINIC, SERVING CHILDREN AND THEIR FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINA LAWLER MSW (CHIEF OPERATIONS OFFICER)
(562) 264-3985
Entity
Organization
Contact information
Practice address
1057 PINE AVE, LONG BEACH, CA 90813-3118
(562) 366-5900
(562) 366-5920
Mailing address
701 E 28TH ST STE 200, LONG BEACH, CA 90806-2784
(562) 264-3985
(562) 216-6197
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051114
—
CA
05
—
HAP70992F
—
CA
Enumeration date
01/22/2008
Last updated
05/02/2023
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