Organization
LOS ANGELES CHRISTIAN HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTINA LEWIS (DEPUTY DIRECTOR & COO)
(213) 893-1960
Entity
Organization
Contact information
Practice address
13200 AVALON BLVD, LOS ANGELES, CA 90061-2227
(213) 893-1960
Mailing address
453 S SPRING ST, LOS ANGELES, CA 90013-2013
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457599631
—
CA
Enumeration date
04/18/2022
Last updated
04/18/2022
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