Organization
NORTHEAST COMMUNITY CLINIC
Active
Parent organization
NORTHEAST COMMUNITY CLINIC
Other names
Wilmington Family Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHEAST COMMUNITY CLINIC
Authorized official
DR. CHRISTOPHER TAK LAU M.D. (EXECUTIVE DIRECTOR)
(626) 457-6900
Entity
Organization
Contact information
Practice address
200 E ANAHEIM ST, WILMINGTON, CA 90744
(310) 522-8700
Mailing address
2550 W MAIN ST, STE 301, ALHAMBRA, CA 91801-1694
(626) 457-6900
(626) 457-5022
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM71121F
—
CA
Enumeration date
05/24/2007
Last updated
06/12/2023
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