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Organization

THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES'

Active
Other names
S. Mark Taper Foundation Children's Clinic Family Health Ctr
Organization subpart
No

Provider details

NPI number
Authorized official
JINA L. LAWLER MSW (CHIEF OPERATIONS OFFICER)
(562) 264-3985
Entity
Organization

Contact information

Practice address
455 E COLUMBIA ST, SUITE 201, LONG BEACH, CA 90806-1620
(562) 933-0412
(562) 933-0487
Mailing address
701 E 28TH ST, SUITE 200, LONG BEACH, CA 90806-2759
(562) 264-3985
(562) 216-6197

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
960000104
CA
261QF0400X
Federally Qualified Health Center (FQHC)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC11466F
CA
Enumeration date
12/20/2006
Last updated
05/02/2023
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