Organization
THE CHILDRENS CLINIC 'SERVING CHILDREN AND THEIR FAMILIES'
Active
Other names
TCCFHC in NLB at Hamilton Middle School
Organization subpart
No
Provider details
NPI number
Authorized official
JINA L. LAWLER MSW (CHIEF OPERATION OFFICER)
(562) 264-3985
Entity
Organization
Contact information
Practice address
1060 E 70TH ST, LONG BEACH, CA 90805-1008
(562) 264-4669
(562) 531-7842
Mailing address
701 E 28TH ST, SUITE 200, LONG BEACH, CA 90806-2759
(562) 264-3985
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
960001378
CA
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70991F
—
CA
Enumeration date
12/20/2006
Last updated
05/02/2023
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