Organization
ST. JOHN'S WELL CHILD & FAMILY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB ADAMIK DR. (CHIEF HUMAN RESOUCE OFFICER)
(323) 541-1604
Entity
Organization
Contact information
Practice address
5701 S HOOVER ST, LOS ANGELES, CA 90037-4045
(323) 541-1600
(323) 541-1601
Mailing address
5701 S HOOVER ST, LOS ANGELES, CA 90037-4045
(323) 541-1600
(323) 541-1601
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
NP18546
CA
Other
Enumeration date
07/09/2009
Last updated
09/02/2010
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