Organization
H STREET CLINIC
Active
Organization
H STREET CLINIC
Active
Other names
Central Neighborhood Health Foundation - Inglewood
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR PEREZ (CAO)
(626) 488-3111
Entity
Organization
Contact information
Practice address
2710 W MANCHESTER BLVD, INGLEWOOD, CA 90305-2436
(323) 778-4310
(323) 778-0838
Mailing address
714 W OLYMPIC BLVD STE 801, LOS ANGELES, CA 90015-1440
(213) 536-5815
(213) 478-0172
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
04/01/2022
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