Organization
ST. JOHNS COMMUNITY HEALTH
Active
Other names
St. John's Well Child and Family Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J MANGIA M.P.H (PRESIDENT & CEO)
(323) 541-1600
Entity
Organization
Contact information
Practice address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1600
(323) 541-1661
Mailing address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 541-1600
(323) 541-1661
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
172A00000X
Driver
550000088
CA
172V00000X
Community Health Worker
550000088
CA
174H00000X
Health Educator
550000088
CA
251B00000X
Case Management Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261Q00000X
Clinic/Center
550000088
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
02/13/2024
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