Organization
LOS ANGELES COMMUNITY CLINIC, INC.
Active
Organization
LOS ANGELES COMMUNITY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON S. OH (CEO/ADMINISTRATOR)
(323) 852-3245
Entity
Organization
Contact information
Practice address
1830 W OLYMPIC BLVD, SUITE 124, LOS ANGELES, CA 90006-3734
(213) 383-1183
(213) 383-1184
Mailing address
1830 W OLYMPIC BLVD, SUITE 124, LOS ANGELES, CA 90006-3734
(323) 852-3245
(213) 325-6618
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
11/26/2021
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